Safe and accurate sylvian dissection with the use of indocyanine green videoangiography.

ABSTRACT:

Background

Sylvian dissection is an essential microneurosurgical skill for neurosurgeons. The safe and accurate opening of the sylvian fissure is desirable for a good prognosis.

Methods

The aim of this report is to demonstrate the use of indocyanine green (ICG) videoangiography to recognize the superficial sylvian vein (SSV) and thus enable a wide opening of the sylvian fissure, especially in patients with subarachnoid hemorrhage (SAH).

Results

The small tributary flowing into the SSV was distinguishable from a passing one, which deeply entered the insula. In addition, an entering point of a tributary to the SSV, which ran perpendicular to the insula, was occasionally determined. SSV, which was barely discernable in a reddish SAH involving the sylvian fissure, was cle

SUBMITTER: Kubota H 

PROVIDER: S-EPMC4901820 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature