Transpalpebral Incision for Resection of an Ethmoidal Dural Arteriovenous Fistula: 2-Dimensional Operative Video. Issue 6 (16th July 2020)

• Record Type: Journal Article
• Authors: Delavari, Nader; Staffenberg, David; Riina, Howard
• Is Part Of: Operative neurosurgery. Volume 19:Issue 6(2020)
• Page Start: E606
• Page End: E606
• Publication Date: 2020-07-16
• Subjects: Transpalpebral -- Eyelid -- Dural arteriovenous fistula -- Eyelid incision -- Ethmoidal; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opaa213
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract: Ethmoidal dural arteriovenous fistulas are vascular malformations with arterial supply from the anterior ethmoidal artery and ultimate drainage into the sagittal sinus. 1-3 They are characterized by a high risk of hemorrhage. Microsurgical disconnection of the fistula represents a safe and robust treatment option. Endovascular treatment requires catheterization of the ophthalmic artery and carries a risk of visual deficits. The supraorbital craniotomy provides an excellent corridor to the anterior skull base and is well suited for the treatment of ethmoidal dural arteriovenous fistulas. The supraorbital craniotomy may be performed through a transpalpebral "eyelid" incision. The transpalpebral incision allows for a well-hidden scar and does not have any associated hair loss, as can be seen with the eyebrow incision. The patient consented to the procedure and being videotaped.