Cerebral venous sinus thrombosis after vestibular schwannoma surgery: a call for evidence-based management guidelines.

@article{AbouAlShaar2018CerebralVS,
  title={Cerebral venous sinus thrombosis after vestibular schwannoma surgery: a call for evidence-based management guidelines.},
  author={Hussam Abou-Al-Shaar and Yair M. Gozal and Gmaan Alzhrani and Michael Karsy and Clough Shelton and William T. Couldwell},
  journal={Neurosurgical focus},
  year={2018},
  volume={45 1},
  pages={
          E4
        }
}
OBJECTIVE Postoperative cerebral venous sinus thrombosis (CVST) is an uncommon complication of posterior fossa surgery. The true incidence of and optimal management strategy for this entity are largely unknown. Herein, the authors report their institutional incidence and management experience of postoperative CVST after vestibular schwannoma surgery. METHODS The authors undertook a retrospective review of all vestibular schwannoma cases that had been treated with microsurgical resection at a… Expand
19 Citations
Cerebral Venous Sinus Thrombosis After Translabyrinthine Vestibular Schwannoma-A Prospective Study and Suggested Management Paradigm.
  • E. Guazzo, B. Panizza, +5 authors J. Bowman
  • Medicine
  • Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2019
TLDR
The incidence of pCVST following translabyrinthine vestibular schwannoma resection is much higher than previously recognized and is more likely to occur when surgery is performed on tumors situated on the side of non-dominant cerebral venous drainage. Expand
Dural Venous Sinus Thrombosis after Vestibular Schwannoma Surgery: The Anticoagulation Dilemma.
TLDR
Dural venous sinus thrombosis is a relatively understudied complication of vestibular schwannoma (VS) surgery and continuing to observe asymptomatic patients did not lead to any adverse events. Expand
Functional Outcomes and Postoperative Cerebral Venous Sinus Thrombosis after Translabyrinthine Approach for Vestibular Schwannoma Resection: A Radiographic Demonstration of Anatomic Predictors
TLDR
More acute petrous angle and shorter IAC to sinus distance are objective anatomic variables associated with pCVST in TL surgical approaches in adults with VS who underwent TL craniectomy. Expand
Cerebrovascular Complications of Vestibular Schwannoma Surgery
TLDR
The association between unfavorable facial nerve outcome and clinical CVC is likely a marker for more difficult operations, predisposing to higher risk of complications. Expand
Successful treatment of superior sagittal sinus thrombosis after translabyrinthine resection of metastatic neuroendocrine tumor: A case report and review of literature
TLDR
This report reports a case of pCVST involving the SSS after translabyrinthine approach for resection of a metastatic neuroendocrine tumor (NET), and the first that was successfully treated with anticoagulation therapy. Expand
Acute Sigmoid Sinus Compromise Following Skull Base Procedures: Is a “Laissez-Faire” Approach Best?
TLDR
Acute iatrogenic sigmoid sinus compromise can be managed expectantly, but the treatment for each instance of VSC must be individualized, considering the symptoms of the patient, rather than applying a universal algorithm. Expand
Dural venous sinus thrombosis after cerebellopontine angle surgery: Should it be treated?
TLDR
Therapeutic anticoagulation should be considered for symptomatic post-operative dural venous sinus thrombosis or if it involves a dominant sinus. Expand
Natural History of Untreated Transverse/Sigmoid Sinus Thrombosis Following Posterior Fossa Surgery: Case Series and Literature Review.
TLDR
It may be reasonable to manage patients with transverse/sigmoid sinus thrombosis following suboccipital craniectomy conservatively in order to avoid the risks associated with anticoagulation in the perioperative period. Expand
Sigmoid Sinus Patency following Vestibular Schwannoma Resection via Retrosigmoid versus Translabyrinthine Approach
TLDR
Decompression of the sigmoid sinus during the TL approach does not have a significant postoperative effect on the dural venous sinus patency, and there was no significant difference between the preoperative and postoperative diameter of the ipsilateral or contralateral sigmoids sinus based on surgical approach. Expand
Cerebral venous sinus thrombosis following post-neurosurgical intracranial hypotension: a case report and systematic review of the literature.
TLDR
The hypothesis of intracranial hypotension as an etiology of CVST is investigated by carrying out a systematic review of the literature and reports the case of a frontal arachnoid cyst depletion followed by an extensive contralateral CVST. Expand
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