Methods of visualization of spontaneous venous injuries of the brain and their applicability in surgery of skull base tumors
https://doi.org/10.18705/2782-3806-2025-5-4-355-363
EDN: IQMCTT
Abstract
Rapidly developing neuroimaging technologies allow to accurately determine venous ischemia and venous infarction of the brain. Most of the works on this topic are devoted to the study of spontaneous cerebral venous thromboses. Common to such thromboses and venous injuries that occurred during the removal of skull base tumors is acute exclusion of cerebral veins. However, in other respects, clinical and diagnostic algorithms are often not similar. The article presents a generalization and analysis of the available literature on the possibilities of neuroimaging venous brain injuries in spontaneous and surgical conditions. Modern methods of angiographic and perfusion diagnostics are described using thrombosis of the dural sinuses and cortical veins as an example. A discussion of the possibility of using these techniques in neurosurgery is given.
About the Authors
Yu. G. Yakovlenko
Rostov State Medical University
Russian Federation
Russian Federation
Yakovlenko Yury G., MD, PhD, neurosurgeon, associate professor of the Department of Neurology and Rehabilitation Medicine
Nakhichevansky str., 29, Rostov-on-Don, 344022
A. V. Shepeleva
Rostov State Medical University
Russian Federation
Russian Federation
Shepeleva Anna V., MD, Head of Department of MRI
and CT
Rostov-on-Don
I. V. Chernikova
Rostov State Medical University
Russian Federation
Russian Federation
Chernikova Irina V., MD, PhD, Head of Department
of Neurology and Rehabilitation Medicine
Rostov-on-Don
J. I. Titorenko
Rostov State Medical University
Russian Federation
Russian Federation
Titorenko Julia I., MD, 1st year resident in neurology
Rostov-on-Don
References
1. Savardekar AR, Patra DP, Narayan V, et al. Incidence, pathophysiology, and prevention strategies for cerebral venous complications after neurologic surgery: a systematic review of the literature. World Neurosurg. 2018;119:294–299. https://doi.org/10.1016/j.wneu.2018.06.231
2. Lin N, Wong AK, Lipinski LJ, et al. Reversible changes in diffusion- and perfusion-based imaging in cerebral venous sinus thrombosis. J Neurointerv Surg. 2016;8(2):6. https://doi.org/10.1136/neurintsurg-2014-011447.rep.
3. Sadik JC, Jianu D, Sadik R, et al. Imaging of cerebral venous thrombosis. Life. 2022;12(8):1215. https://doi.org/10.3390/life12081215
4. Ulivi L, Squitieri M, Cohen H, et al. Cerebral venous thrombosis: a practical guide. Pract Neurol. 2020;20(5):356– 367. https://doi.org/10.1136/practneurol-2019-002415
5. Li AY, Tong E, Yedavalli VS. A case-based review of cerebral venous infarcts with perfusion imaging and comparison to arterial ischemic stroke. Front Radiol. 2021;1:687045. https://doi.org/10.3389/fradi.2021.687045
6. Makkat S, Stadnik T, Peeters E, et al. Pathogenesis of venous stroke: evaluation with diffusion- and perfusion-weighted MRI. J Stroke Cerebrovasc Dis. 2003;12(3):132– 136. https://doi.org/10.1016/S10523057(03)00039-9
7. Arnoux A, Triquenot-Bagan A, Andriuta D, et al. Imaging characteristics of venous parenchymal abnormalities. Stroke. 2017;48:3258–3265. https://doi.org/10.1161/STROKEAHA.117.017937
8. Röttger C, Trittmacher S, Gerriets T, et al. Reversible MR imaging abnormalities following cerebral venous thrombosis. AJNR Am J Neuroradiol. 2005;26(3):607–613.
9. Saposnik G, Bushnell C, Coutinho JM, et al. American heart association stroke council; council on cardiopulmonary, critical care, perioperative and resuscitation; council on cardiovascular and stroke nursing; and council on hypertension. Diagnosis and management of cerebral venous thrombosis: a scientific statement from the american heart association. Stroke. 2024;55(3):77–90. https://doi.org/10.1161/STR.0000000000000456
10. Xu W, Gao L, Li T, et al. The performance of CT versus MRI in the differential diagnosis of cerebral venous thrombosis. Thromb Haemost. 2018;118(6):1067– 1077. https://doi.org/10.1055/s-0038-1642636
11. Kawaguchi T, Kawano T, Kaneko Y, et al. Classification of venous ischaemia with MRI. J Clin Neurosci. 2001;8(1):82–88. https://doi.org/10.1054/jocn.2001.0884
12. Choi JE, Weon YC, Park GM, et al. Comparison of MRI sequences for the detection of cerebral venous sinus thrombosis during follow-up examination. J Korean Soc Radiol. 2018;78(5):330–339. https://doi.org/10.3348/jksr.2018.78.5.330
13. Halil E. CT perfusion — an up-to-date element of the contemporary multimodal diagnostic approach to acute ischemic stroke. Folia Med. 2023;65(4):531–538. https://doi.org/10.3897/folmed.65.e96954
14. Lui YW, Tang ER, Allmendinger AM, et al. Evaluation of CT perfusion in the setting of cerebral ischemia: patterns and pitfalls. AJNR Am J Neuroradiol. 2010;31(9):1552–1563. https://doi.org/10.3174/ajnr.A2026
15. Gupta RK, Bapuraj JR, Khandelwal N, et al. Prognostic indices for cerebral venous thrombosis on CT perfusion: a prospective study. Eur J Radiol. 2014;83(1):185– 190. https://doi.org/10.1016/j.ejrad.2013.09.027
16. Naik S, Phadke RV, Bhoi SK, et al. Perfusion mri in cerebral venous and sinus thrombosis. Neurol india. 2024;72(4):791–796. https://doi.org/10.4103/neurol-india. NI_485_20
17. Kang JH, Yun TJ, Yoo RE, et al. Bright sinus appearance on arterial spin labeling MR imaging aids to identify cerebral venous thrombosis. Medicine. 2017;96(41):8244. https://doi.org/10.1097/MD.0000000000008244
18. Furuya S, Kawabori M, Fujima N, et al. Serial arterial spin labeling may be useful in assessing the therapeutic course of cerebral venous thrombosis: case reports. Neurol Med Chir. 2017;57:557–561. https://doi.org/10.2176/nmc.cr.2017-0033
19. Alajmi E, Zung J, Duquet-Armand M, et al. Prevalence of venous infarction in patients with cerebral venous thrombosis: baseline diffusion-weighted MRI and follow-up MRI. Stroke. 2023;54(7):1808–1814. https://doi.org/10.1161/STROKEAHA.122.042336
20. Lv B, Jing F, Tian CL, et al. Diffusion-weighted magnetic resonance imaging in the diagnosis of cerebral venous thrombosis: a meta-analysis. J Korean Neurosurg Soc. 2021;64(3):418–426. https://doi.org/10.3340/jkns.2020.0247
21. Favrole P, Guichard JP, Crassard I, et al. Diffusion-weighted imaging of intravascular clots in cerebral venous thrombosis. Stroke. 2004;35:99–103. https://doi.org/10.1161/01.STR.0000106483.41458.AF
22. Yamashiro K, Wakako A, Omi T, et al. Evaluating diploic vein blood flow using time-resolved whole-head computed tomography angiography and determining the positional relationship between typical craniotomy approaches and diploic veins in patients with meningioma. Acta Neurochir. 2022;164(11):2999–3010.
23. Dean BL, Wallace RC, Zabramski JM, et al. Incidence of superficial sylvian vein compromise and postoperative effects on CT imaging after surgical clipping of middle cerebral artery aneurysms. Am J Neuroradiol. 2005; 26(8):2019–2026.
24. Sughrue ME, Rutkowski MJ, Shangari G, et al. Incidence, risk factors, and outcome of venous infarction after meningioma surgery in 705 patients. J Clin Neurosci. 2011;18(5):628–632. https://doi.org/10.1016/j.jocn.2010.10.001
25. Kaku S, Miyahara K, Fujitsu K, et al. Drainage pathway of the superior petrosal vein evaluated by CT venography in petroclival meningioma surgery. J Neurol Surg B Skull Base. 2012;73(5):316–320. https://doi.org/ 10.1055/s-0032-1321509
26. Narayan V, Savardekar AR, Patra DP, et al. Safety profile of superior petrosal vein (the vein of Dandy) sacrifice in neurosurgical procedures: a systematic review. Neurosurg Focus. 2018;45(1):3. https://doi.org/10.3171/2018.4.FOCUS18133
27. Cai Q, Wang S, Zheng M, et al. Risk factors influencing cerebral venous infarction after meningioma resection. BMC Neurol. 2022;22(1):259. https://doi.org/10.1186/s12883-022-02783-2
28. Wu Y, Tian Q, Wang S, et al. Hemorrhagic cerebral venous infarction after vein injury during intraoperative lesion resection: incidence, hemorrhagic stages, risk factors and prognosis. Front Neurol. 2024;15:1371184. https://doi.org/10.3389/fneur.2024.1371184
Review
For citations:
Yakovlenko Yu.G., Shepeleva A.V., Chernikova I.V., Titorenko J.I. Methods of visualization of spontaneous venous injuries of the brain and their applicability in surgery of skull base tumors. Russian Journal for Personalized Medicine. 2025;5(4):355-363. (In Russ.) https://doi.org/10.18705/2782-3806-2025-5-4-355-363. EDN: IQMCTT
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