In this article, the authors review the history of the posterior petrosal approach. The early foundation of the retrolabyrinthine lateral petrosectomy has its roots in the otolaryngology literature. These early approaches were limited in exposure by the tentorium superiorly and the sigmoid sinus posteriorly. Although the concept of a transtentorial approach was originally combined with a comple...

(LF), dural exposure (DE), high juguler bulb (HJB), position of sigmoid sinus, körner’s septum (KS), aberrant internal carotid artery, mastoid aeration in chronic otitis media and to imply the importance of their recognition before surgery. Materials and methods: Data was obtained retrospectively from 356 temporal bone high resolution computed tomography (HRCT) of 178 patients who underwent tym...

OBJECTIVES/HYPOTHESIS To identify complex cases of tympanojugular paraganglioma (TJP) and to analyze their management and surgical outcome. To present strategy and guidelines on how to deal with the perioperative complicating factors. STUDY DESIGN Retrospective analysis. METHODS We retrospectively studied 212 TJP patients to identify the complex cases and analyzed their management and surgi...

In this paper, we analyze a large published data set of cross sections of frontal sinuses of 3 to 11-year-olds (105 males and 87 females) from Central Europe to investigate several issues relating to frontal sinus ontogeny. Despite a large variation in every one year age cohort, we detect no asymmetry of the left average versus the right average frontal sinus lobe cross-sectional areas in the p...

Post traumatic dural sinus vein stenosis has been rarely described in pediatric population. We present a case of a 9-year-old child that had sustained a head injury after a fall from height causing an acute epidural hematoma compressing the dominant sigmoid sinus. The patient had developed sub acutely signs and symptoms of increased intracranial pressure. Prophylactic treatment with anticoagula...

A 43-year-old woman, presented with headache, reduced visual acuity, for 5 days and bilateral papilledema. Non-enhanced cerebral computed tomography (CT) was normal. The venous angiography-CT revealed the empty delta sign within superior sagittal, right transverse and sigmoid sinuses, characterizing sinus thrombosis (Figure). The empty delta sign is a central intraluminal filling defect, repres...

INTRODUCTION Dural sinus thrombosis following minor head injury is rare. We report such a case in a child after mild head injury. CLINICAL PICTURE A 4-year-old child presented with giddiness and vomiting after a fall. Clinical examination was unremarkable. Magnetic resonance venogram revealed thrombosis of the right sigmoid and transverse sinuses. TREATMENT The patient was managed conservat...

BACKGROUND AND PURPOSE From the time-attenuation curves of DSA flow parameters, maximal intensity, maximal slope, and full width at half maximum of selected vascular points are defined. The study explores the reliability of defining the flow parameters by the time-attenuation curves of DSA. MATERIALS AND METHODS Seventy patients with unilateral carotid artery stenosis (group A) and 56 healthy...