The contribution of high-resolution multiplanar reformats of the skull base to the detection of skull-base fractures

2005 ◽  
Vol 60 (8) ◽  
pp. 878-885 ◽  
Author(s):  
S.E.J. Connor ◽  
C. Flis
2019 ◽  
Vol 36 (7) ◽  
pp. 1029-1039
Author(s):  
Renata M. Knoll ◽  
Katherine L. Reinshagen ◽  
Samuel R. Barber ◽  
Iman Ghanad ◽  
Randel Swanson ◽  
...  

2017 ◽  
Vol 55 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Ari Meir Blitz ◽  
Nafi Aygun ◽  
Daniel A. Herzka ◽  
Masaru Ishii ◽  
Gary L. Gallia

2002 ◽  
Vol 126 (6) ◽  
pp. 669-676 ◽  
Author(s):  
Jeffrey S. Zapalac ◽  
Bradley F. Marple ◽  
Nathan D. Schwade

OBJECTIVE: Our goal was to assess the efficacy of current diagnostic modalities in the management of skull base cerebrospinal fluid (CSF) fistulas. METHODS: We conducted a retrospective review of all patients presenting to our institution over the past 6 years with skull base CSF fistulas. RESULTS: Fifty-two patients were included in the study. β2-Transferrin analysis of collected specimen was the most efficacious means of confirming a CSF leak. High-resolution computed tomography was the most informative radiographic study, yielding a sensitivity and an accuracy of 87%. Magnetic resonance cisternography, yielding a sensitivity and an accuracy of 78%, was instrumental in localizing the site of leak for a few cases but was most commonly corroborative. Using a graduated diagnostic approach, successful repair was attained in 88% of cases after 1 attempt and 98% after 1 or 2 attempts. CONCLUSION: For patients with skull base CSF fistulas, a graduated diagnostic approach with emphasis on confirmation of leak by β2-transferrin analysis and precise localization by high-resolution computed tomography is both efficacious and cost effective.


Author(s):  
E. Leon Kier ◽  
Gerald J. Conlogue ◽  
Lawrence H. Staib

Abstract Purpose The presence of a persistent primitive maxillary artery is described in the literature dealing with the development of the cavernous carotid inferolateral trunk, and the relevant similarities of the cranial circulation of the human and dog. The literature includes no dissection photographs of the above-mentioned two human fetal arteries, only diagrammatic representations. This study’s objectives were to analyze photographs of fetal dissections for the presence of these two arteries, and also investigate the possibility of obtaining, in preserved dog specimens, high-resolution micro-CT imaging of arteries homologous with the above-mentioned two human arteries. Methods The literature describing the embryologic development of the cavernous carotid inferolateral trunk, the persistent primitive maxillary arteries, and their homologies in the dog was reviewed. Relevant dissections of fetal specimens were analyzed. High-resolution micro-CT images of un-dissected dog arteries were produced and analyzed. Results Photographs of fetal specimen dissections demonstrate the cavernous carotid inferolateral trunk. A separate persistent primitive maxillary artery was not present in the dissected specimens. High-resolution micro-CT images of the dog demonstrate homologous arteries with segments of the human inferolateral trunk, and other skull base and brain arteries. Conclusion This investigation provides the only photographs in the literature of dissected human fetal cavernous carotid inferolateral trunks. A persistent primitive maxillary artery was not present in the dissected specimens and is a non-existent structure, likely a previously misidentified carotid inferolateral trunk. High-resolution micro-CT images of the dog visualized arteries that are homologous to segments of the human cavernous carotid inferolateral trunk artery.


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