Download PDF
J Neurol Surg Rep 2015; 76(01): e72-e74
DOI: 10.1055/s-0034-1543977
Case Report
Georg Thieme Verlag KG Stuttgart · New York

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

Daryoush Tavanaiepour
1   Department of Neurosurgery, University of Florida College of Medicine, Jacksonville, Florida, United States
,
Sarah Jernigan
2   Department of Neurosurgery, University of Miami, Miami, Florida, United States
,
Mohamad Abolfotoh
3   Department of Neurosurgery, Ain Shams University, Cairo, Egypt
,
Ossama Al-Mefty
4   Department of Neurosurgery, Brigham and Women's Hospital and Harvard School of Medicine, Boston, Massachusetts, United States
› Author Affiliations
Further Information

Publication History

10 October 2014

10 November 2014

Publication Date:
04 March 2015 (online)

Also available at
   Permissions and Reprints

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.

Keywords

fibrin glue - cavernous sinus - cranial nerve
 

  • References

  • 1 Krayenbühl N, Hafez A, Hernesniemi JA, Krisht AF. Taming the cavernous sinus: technique of hemostasis using fibrin glue. Neurosurgery 2007; 61 (3, Suppl): E52 ; discussion E52
    CrossrefPubMedGoogle Scholar
  • 2 Sekhar LN, Natarajan SK, Manning T, Bhagawati D. The use of fibrin glue to stop venous bleeding in the epidural space, vertebral venous plexus, and anterior cavernous sinus: technical note. Neurosurgery 2007; 61 (3, Suppl): E51 ; discussion E51
    CrossrefPubMedGoogle Scholar
  • 3 Phookan G, Davis AT, Holmes B. Hemangioendothelioma of the cavernous sinus: case report. Neurosurgery 1998; 42 (5) 1153-1155 ; discussion 1155–1156
    CrossrefPubMedGoogle Scholar
  • 4 Fraser JF, Mass AY, Brown S, Anand VK, Schwartz TH. Transnasal endoscopic resection of a cavernous sinus hemangioma: technical note and review of the literature. Skull Base 2008; 18 (5) 309-315
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Bedi AD, Toms SA, Dehdashti AR. Use of hemostatic matrix for hemostasis of the cavernous sinus during endoscopic endonasal pituitary and suprasellar tumor surgery. Skull Base 2011; 21 (3) 189-192
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Shelden CH, Pudenz RH, Freshwater DB, Crue BL. Compression rather than decompression for trigeminal neuralgia. J Neurosurg 1955; 12 (2) 123-126
    CrossrefPubMedGoogle Scholar
  • 7 Mullan S, Lichtor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 1983; 59 (6) 1007-1012
    CrossrefPubMedGoogle Scholar
  • 8 Skirving DJ, Dan NG. A 20-year review of percutaneous balloon compression of the trigeminal ganglion. J Neurosurg 2001; 94 (6) 913-917
    CrossrefPubMedGoogle Scholar
  • 9 Lee ST, Chen JF. Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia, part II: results related to compression duration. Surg Neurol 2003; 60 (2) 149-153 ; discussion 153–154
    CrossrefPubMedGoogle Scholar
  • 10 Brown JA, Pilitsis JG. Percutaneous balloon compression for the treatment of trigeminal neuralgia: results in 56 patients based on balloon compression pressure monitoring. Neurosurg Focus 2005; 18 (5) E10
    PubMedGoogle Scholar
  • 11 Zanusso M, Curri D, Landi A, Colombo F, Volpin L, Cervellini P. Pressure monitoring inside Meckel's cave during percutaneous microcompression of gasserian ganglion. Stereotact Funct Neurosurg 1991; 56 (1) 37-43
    CrossrefPubMedGoogle Scholar