Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report

Abstract Fibrin glue injection has been used to control intraoperative cavernous sinus (CS) venous bleeding. There have been no reported complications related to this maneuver. We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the post...

Full description

Bibliographic Details
Main Authors: Daryoush Tavanaiepour, Sarah Jernigan, Mohamad Abolfotoh, Ossama Al-Mefty
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2015-03-01
Series:Journal of Neurological Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1543977
_version_ 1818470293014839296
author Daryoush Tavanaiepour
Sarah Jernigan
Mohamad Abolfotoh
Ossama Al-Mefty
author_facet Daryoush Tavanaiepour
Sarah Jernigan
Mohamad Abolfotoh
Ossama Al-Mefty
author_sort Daryoush Tavanaiepour
collection DOAJ
description Abstract Fibrin glue injection has been used to control intraoperative cavernous sinus (CS) venous bleeding. There have been no reported complications related to this maneuver. We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the posterior CS during resection of a petrosal meningioma. We believe that this deficit was due to the compression of the trigeminal ganglion similar to balloon compression procedures. Although fibrin glue injection may achieve satisfactory cavernous sinus homeostasis, the volume and rate of injection should be kept in mind to avoid a compressive lesion on traversing cranial nerves and surrounding structures, or retrograde filling of the venous tributaries.
first_indexed 2024-04-13T21:35:29Z
format Article
id doaj.art-918f62d869ab4b7c8073000668668f9b
institution Directory Open Access Journal
issn 2193-6358
2193-6366
language English
last_indexed 2024-04-13T21:35:29Z
publishDate 2015-03-01
publisher Georg Thieme Verlag KG
record_format Article
series Journal of Neurological Surgery Reports
spelling doaj.art-918f62d869ab4b7c8073000668668f9b2022-12-22T02:28:59ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662015-03-017601e72e7410.1055/s-0034-1543977Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case ReportDaryoush Tavanaiepour0Sarah Jernigan1Mohamad Abolfotoh2Ossama Al-Mefty3Department of Neurosurgery, University of Florida College of Medicine, Jacksonville, Florida, United StatesDepartment of Neurosurgery, University of Miami, Miami, Florida, United StatesDepartment of Neurosurgery, Ain Shams University, Cairo, EgyptDepartment of Neurosurgery, Brigham and Women's Hospital and Harvard School of Medicine, Boston, Massachusetts, United StatesAbstract Fibrin glue injection has been used to control intraoperative cavernous sinus (CS) venous bleeding. There have been no reported complications related to this maneuver. We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the posterior CS during resection of a petrosal meningioma. We believe that this deficit was due to the compression of the trigeminal ganglion similar to balloon compression procedures. Although fibrin glue injection may achieve satisfactory cavernous sinus homeostasis, the volume and rate of injection should be kept in mind to avoid a compressive lesion on traversing cranial nerves and surrounding structures, or retrograde filling of the venous tributaries.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1543977fibrin gluecavernous sinuscranial nerve
spellingShingle Daryoush Tavanaiepour
Sarah Jernigan
Mohamad Abolfotoh
Ossama Al-Mefty
Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
Journal of Neurological Surgery Reports
fibrin glue
cavernous sinus
cranial nerve
title Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
title_full Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
title_fullStr Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
title_full_unstemmed Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
title_short Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
title_sort fibrin glue injection for cavernous sinus hemostasis associated with cranial nerve deficit a case report
topic fibrin glue
cavernous sinus
cranial nerve
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1543977
work_keys_str_mv AT daryoushtavanaiepour fibringlueinjectionforcavernoussinushemostasisassociatedwithcranialnervedeficitacasereport
AT sarahjernigan fibringlueinjectionforcavernoussinushemostasisassociatedwithcranialnervedeficitacasereport
AT mohamadabolfotoh fibringlueinjectionforcavernoussinushemostasisassociatedwithcranialnervedeficitacasereport
AT ossamaalmefty fibringlueinjectionforcavernoussinushemostasisassociatedwithcranialnervedeficitacasereport