• World Neurosurg · Oct 2024

    Review

    Obliteration of the Superior Petrosal Vein during Cerebellopontine Angle-Surgery: More Cons than Pros?

    • H Joswig, U Träger, and G Hildebrandt.
    • HMU Health & Medical University Potsdam, Ernst von Bergmann Hospital, Department of Neurosurgery, Charlottenstr. 72, 14467 Potsdam, Germany. Electronic address: holger.joswig@gmail.com.
    • World Neurosurg. 2024 Oct 14.

    AbstractA profound knowledge of the anatomy and surgical management of the superior petrosal vein is vital during neurosurgical procedures in the posterior fossa. The debate on preserving the superior petrosal vein or whether it can be duly obliterated is still ongoing. This review provides an update on all historical articles pertaining to the risk-profile of superior petrosal sacrifice since Walter Dandy. Not only were the heterogenous methods but also the respective authors' conclusions analyzed. In light of the collected evidence, we come to the conclusion that occluding the superior petrosal vein poses an ineligible risk to patient safety and should be considered obsolete.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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