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Review of complications due to foramen ovale puncture.
- Source :
-
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2007 Jun; Vol. 14 (6), pp. 563-8. Date of Electronic Publication: 2006 Dec 13. - Publication Year :
- 2007
-
Abstract
- We aim to evaluate the mechanisms responsible for complications during trigeminal rhizotomy via foramen ovale puncture. Ten dry skulls and 10 skull-base specimens were investigated in the present study. In cadaveric skull-base specimens, the anatomical relationships between the foramen ovale, mandibular nerve and Gasserian ganglion and the surrounding neurovascular structures were investigated intradurally. The distance between the foramen ovale and Gasserian ganglion was measured as 6 mm. The abducent nerve, adjacent to the anterior tail of the petrolingual ligament, was observed passing along the lateral wall of the cavernous sinus. Advancement of the catheter more than 10 mm from the foramen ovale is likely to damage the internal carotid artery and the abducent nerve at the medial side of the petrolingual ligament. Thermocoagulation of the lateral wall of the cavernous sinus may damage the cranial nerves by heat, giving rise to pareses.
- Subjects :
- Anatomy, Regional
Catheterization adverse effects
Catheterization methods
Cranial Fossa, Middle anatomy & histology
Humans
Intraoperative Complications etiology
Intraoperative Complications prevention & control
Mandibular Nerve anatomy & histology
Mandibular Nerve surgery
Postoperative Complications prevention & control
Sphenoid Bone surgery
Trigeminal Ganglion anatomy & histology
Trigeminal Ganglion surgery
Trigeminal Nerve surgery
Trigeminal Neuralgia complications
Cranial Fossa, Middle surgery
Postoperative Complications etiology
Rhizotomy methods
Sphenoid Bone anatomy & histology
Trigeminal Nerve anatomy & histology
Trigeminal Neuralgia surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0967-5868
- Volume :
- 14
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
- Publication Type :
- Academic Journal
- Accession number :
- 17169562
- Full Text :
- https://doi.org/10.1016/j.jocn.2005.11.043