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Noninvasive cross-sectional imaging (computed tomography [CT], magnetic resonance [MR] imaging, and MR/CT angiography) plays a pivotal role in the diagnosis of patients with disorders of the deep face and skull lesions.
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The endovascular or percutaneous treatment of skull base tumors requires a thorough understanding of vascular anastomoses and anatomic variants.
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Dural arteriovenous fistulae increase the risk of venous hypertension and intraparenchymal hemorrhage. The preferred treatment method is
Skull Base Neurointerventional Techniques
Section snippets
Key points
Imaging Findings/Pathology
Initial noninvasive imaging of the dural venous sinuses can include CT venography (CTV) or MR venography (MRV). Venous sinus stenosis most commonly occurs at the junction of the transverse and sigmoid sinuses (Fig. 8).
IIH, also known
Summary
Image-guided biopsy can allow safe, efficient, and accurate tissue sampling. NIR plays an important role in the treatment of many skull base disorders given the anatomic complexities and limited surgical windows. NIR plays an important role in the treatment of vascular tumors, arteriovenous fistulae/malformations, dural sinus stenosis, and epistaxis.
Disclosure
The authors have nothing to disclose.
References (31)
- et al.
CT-guided percutaneous core biopsy of deep face and skull-base lesions
Clin Radiol
(2008) - et al.
Intracranial endovascular balloon test occlusion: indications, methods, and predictive value
Neuroimaging Clin N Am
(2013) - et al.
Cryoablation: mechanism of action and devices
J Vasc Interv Radiol
(2010) - et al.
Epistaxis: a retrospective review of hospitalized patients
Otolaryngol Head Neck Surg
(1997) - et al.
Preoperative embolization of meningiomas fed by ophthalmic branch arteries
Surg Neurol
(1996) Interventional and endovascular therapy of the nervous system: a Practical guide
(2013)- et al.
Intratumoral injection of cyanoacrylate glue in head and neck paragangliomas
AJNR Am J Neuroradiol
(2004) - et al.
Preoperative embolization of a cervicodorsal paraganglioma by direct percutaneous injection of onyx and endovascular delivery of particles
AJNR Am J Neuroradiol
(2006) - et al.
Efficacy of endovascular treatment of meningiomas: evaluation with matched samples
AJNR Am J Neuroradiol
(1994) - et al.
Devascularization of craniofacial tumors by percutaneous tumor puncture
AJNR Am J Neuroradiol
(1994)
Interventional neuroradiology of the head and neck
AJNR Am J Neuroradiol
(2008)
Venous diverticula causing pulsatile tinnitus treated with coil embolization and stent placement with resolution of symptoms: report of two cases and review of the literature
Otol Neurotol
(2017)
Percutaneous image-guided cryoablation of head and neck tumors for local control, preservation of functional status, and pain relief
AJR Am J Roentgenol
(2017)
Intracranial dural arteriovenous fistulas: classification, imaging findings, and treatment
AJNR Am J Neuroradiol
(2012)
Classification and treatment of spontaneous carotid-cavernous sinus fistulas
J Neurosurg
(1985)
Cited by (2)
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