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LIGATION AND RESECTION OF THE SUPERIOR LONGITUDINAL SINUS

LIGATION AND RESECTION OF THE SUPERIOR LONGITUDINAL SINUS Abstract Ligation and resection of the superior longitudinal sinus is a formidable task which must be undertaken in cases of certain tears through the sinus to control hemorrhage or when a meningioma involves the sinus. Meningiomas frequently have their origin of growth from the wall of the sinus, and may invade it often to the extent of completely occluding the lumen of the vessel. In order to effect a permanent cure, the involved portion of the sinus must be removed. Resection of a sinus previously occluded by a tumor—in effect already resected—would not seem to be dangerous, because the gradual closure of the vessel has permitted sufficient time for an adequate collateral circulation to be slowly established. However, the resection or ligation of a superior longitudinal sinus not already closed is quite another matter. Ligation of a vein invariably leads to temporary venous stagnation and edema in the tissues drained by References 1. Dandy, W. E.: Removal of Longitudinal Sinus Involved in Tumors , Arch. Surg. 41:244-256 ( (Aug.) ) 1940.Crossref 2. Kenyon, J. H.: Endothelioma of the Brain: Three Years After Operation , Ann. Surg. 61:106-107 ( (Jan.) ) 1915.Crossref 3. Rand, C. W.: Osteoma of the Skull: Report of Two Cases, One Being Associated with a Large Intracranial Endothelioma , Arch. Surg. 6:573-586 ( (March) ) 1923.Crossref 4. Towne, E. B.: Invasion of the Intracranial Venous Sinuses by Meningioma (Dural Endothelioma) , Ann. Surg. 83:321-327 ( (March) ) 1926.Crossref 5. David, M.; Bissery, M., and Brun, M.: Sur un cas de méningiome de la faux opere avec succes. Absence de trouble paralytiques apres resection du sinus longitudinal au niveau de l'abouchement des veine rolandiques , Rev. neurol. 1:725-730 ( (May) ) 1934. 6. Cushing, H., and Eisenhardt, L.: Meningiomas , Springfield, Ill., Charles C. Thomas, Publisher, 1938, p. 463. 7. Maltby, G. L.: Resection of Longitudinal Sinus Posterior to the Rolandic Area for Complete Removal of Meningioma , Arch. Neurol. & Psychiat. 42:1135-1139 ( (Dec.) ) 1939. 8. Tönnis, W.: Die Zulässigkeit der Resektion des Längsblutleiters des Gehirns , Deutsche Ztschr. f. Nervenh. 136:186-190, 1935. 9. Rowe, S. N.: Parasagittal Meningiomas , Am. J. Surg. 43:138-141 ( (Jan.) ) 1939. 10. Davidoff, L. M.: Meningioma: Report of an Unusual Case , Bull. Neurol. Inst. New York 6:300-305 ( (Aug.) ) 1937. 11. daCosta, D. G., and Adson, A. W.: Parasagittal Meningiomas: Report of Cases , Proc. Staff Meet., Mayo Clin. 14:764-768 ( (Nov. 29) ) 1939. 12. Carlucci, G. A.: Injury to Longitudinal Sinus Accompanying Depressed Fracture of the Skull , Am. J. Surg. 45:120-124 ( (July) ) 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

LIGATION AND RESECTION OF THE SUPERIOR LONGITUDINAL SINUS

Archives of Neurology & Psychiatry , Volume 48 (6) – Dec 1, 1942

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Publisher
American Medical Association
Copyright
Copyright © 1942 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1942.02290120131009
Publisher site
See Article on Publisher Site

Abstract

Abstract Ligation and resection of the superior longitudinal sinus is a formidable task which must be undertaken in cases of certain tears through the sinus to control hemorrhage or when a meningioma involves the sinus. Meningiomas frequently have their origin of growth from the wall of the sinus, and may invade it often to the extent of completely occluding the lumen of the vessel. In order to effect a permanent cure, the involved portion of the sinus must be removed. Resection of a sinus previously occluded by a tumor—in effect already resected—would not seem to be dangerous, because the gradual closure of the vessel has permitted sufficient time for an adequate collateral circulation to be slowly established. However, the resection or ligation of a superior longitudinal sinus not already closed is quite another matter. Ligation of a vein invariably leads to temporary venous stagnation and edema in the tissues drained by References 1. Dandy, W. E.: Removal of Longitudinal Sinus Involved in Tumors , Arch. Surg. 41:244-256 ( (Aug.) ) 1940.Crossref 2. Kenyon, J. H.: Endothelioma of the Brain: Three Years After Operation , Ann. Surg. 61:106-107 ( (Jan.) ) 1915.Crossref 3. Rand, C. W.: Osteoma of the Skull: Report of Two Cases, One Being Associated with a Large Intracranial Endothelioma , Arch. Surg. 6:573-586 ( (March) ) 1923.Crossref 4. Towne, E. B.: Invasion of the Intracranial Venous Sinuses by Meningioma (Dural Endothelioma) , Ann. Surg. 83:321-327 ( (March) ) 1926.Crossref 5. David, M.; Bissery, M., and Brun, M.: Sur un cas de méningiome de la faux opere avec succes. Absence de trouble paralytiques apres resection du sinus longitudinal au niveau de l'abouchement des veine rolandiques , Rev. neurol. 1:725-730 ( (May) ) 1934. 6. Cushing, H., and Eisenhardt, L.: Meningiomas , Springfield, Ill., Charles C. Thomas, Publisher, 1938, p. 463. 7. Maltby, G. L.: Resection of Longitudinal Sinus Posterior to the Rolandic Area for Complete Removal of Meningioma , Arch. Neurol. & Psychiat. 42:1135-1139 ( (Dec.) ) 1939. 8. Tönnis, W.: Die Zulässigkeit der Resektion des Längsblutleiters des Gehirns , Deutsche Ztschr. f. Nervenh. 136:186-190, 1935. 9. Rowe, S. N.: Parasagittal Meningiomas , Am. J. Surg. 43:138-141 ( (Jan.) ) 1939. 10. Davidoff, L. M.: Meningioma: Report of an Unusual Case , Bull. Neurol. Inst. New York 6:300-305 ( (Aug.) ) 1937. 11. daCosta, D. G., and Adson, A. W.: Parasagittal Meningiomas: Report of Cases , Proc. Staff Meet., Mayo Clin. 14:764-768 ( (Nov. 29) ) 1939. 12. Carlucci, G. A.: Injury to Longitudinal Sinus Accompanying Depressed Fracture of the Skull , Am. J. Surg. 45:120-124 ( (July) ) 1939.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Dec 1, 1942

References