Title :

Fusiform dilatation of internal carotid artery after pterional but not subfrontal craniotomy in 6 patients

Author(s) :

Aboukais, Rabih [Auteur]
Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
Bretonnier, Maxime [Auteur]
CHU Pontchaillou [Rennes]
Karnoub, Melodie-Anne [Auteur]
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192
Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U 1192 [PRISM]
Leclerc, Xavier [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Service de neurophysiologie clinique [CHRU Lille]
Riffaud, Laurent [Auteur]
Centre Hospitalier Universitaire [Rennes]
Lejeune, Jean-Paul [Auteur]
Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189
Thérapies Laser Assistées par l'Image pour l'Oncologie - U 1189 [ONCO-THAI]
Vinchon, Matthieu [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Maladies RAres du DEveloppement embryonnaire et du MEtabolisme : du Phénotype au Génotype et à la Fonction - ULR 7364 [RADEME]

Journal title :

Child's Nervous System

Abbreviated title :

Childs Nerv Syst

Volume number :

37

Pages :

125-129

Publication date :

2020-06-20

ISSN :

1433-0350

Keyword(s) :

FDICA
Pterional approach
Suprasellar lesion
Aneurysm
ICA

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Purpose: Our study aimed to evaluate potential risk factors for the development of FDICA after suprasellar tumor resection. Materials and method: After reviewing all cases of pediatric patients who benefited from a ...
Show more >Purpose: Our study aimed to evaluate potential risk factors for the development of FDICA after suprasellar tumor resection. Materials and method: After reviewing all cases of pediatric patients who benefited from a suprasellar lesion resection in our two medical institutions, we found 6 patients with a FDICA. Surgical approach strategy (pterional or subfrontal approaches) was noted. Postoperative cranial MRI was performed in each patient 3 months after surgery and every year. When a FDICA occurred, MRI was performed 6 months after the diagnosis and 1 year later to detect any progression. Results: There were 6 males with a mean age at treatment of 11 years (6 to 15). Pterional approach was performed in these 6 patients. At the 2 institutions, we have done at least 50 pterional craniotomies for suprasellar lesion resection. No FDICA was reported after subfrontal approach in 27 consecutive pediatric patients operated on from a craniopharyngioma. The delay between the surgery and the diagnosis of the FDICA was 9 months (3 to 17 months). No symptoms related to the FDICA were recorded. The mean maximal diameter of the aneurysm was 14 mm (10 to 21). ICA bifurcation was involved in 2 cases. Asymptomatic FDICA progression was noted in 2 cases but no treatment was proposed. Conclusion: The pathogenesis of FDICA is unclear, and might involve arterial wall necrosis caused by postoperative arachnoid fibrosis which might be worsened by the pterional approach.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
INSERM
Inserm
Université de Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172
• Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
• Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192
• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Research team(s) :

Troubles cognitifs dégénératifs et vasculaires

Submission date :

2021-06-23T13:46:37Z
2021-11-10T11:34:27Z