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Paramedian tuberculum sellae meningioma: tumor resection and optic canal unroofing via contralateral supraorbital eyebrow approach. 鞍旁结节脑膜瘤：肿瘤切除及对侧眶上眉入路视神经管开颅术。
Neurosurgical focus: Video Pub Date : 2026-01-01 DOI: 10.3171/2025.10.FOCVID25166
Ravi Ranjan, Kuntal Kanti Das, Sudarsana Gogoi, Sudhakar Madheshiya, Arun Kumar Srivastava
{"title":"Paramedian tuberculum sellae meningioma: tumor resection and optic canal unroofing via contralateral supraorbital eyebrow approach.","authors":"Ravi Ranjan, Kuntal Kanti Das, Sudarsana Gogoi, Sudhakar Madheshiya, Arun Kumar Srivastava","doi":"10.3171/2025.10.FOCVID25166","DOIUrl":"10.3171/2025.10.FOCVID25166","url":null,"abstract":"<p><p>Tuberculum sellae meningioma (TSM) causes disproportionate vision loss due often to an associated bony hypertrophy or an intradural tumor invasion into the optic canals. Several surgical approaches are available for resecting the TSMs. A contralateral transcranial approach from the side of better/normal vision may be beneficial in asymmetrical TSMs. It allows a favorable angle of attack and access to the medial wall of the affected optic canal. Here, the authors demonstrate the technique of a contralateral supraorbital eyebrow approach (c-SOA) that could be useful in a specific subset of TSMs with good oncological and cosmetic outcome. The video can be found here: https://stream.cadmore.media/r10.3171/2025.10.FOCVID25166.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"14 1","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microsurgical resection of a scalp arteriovenous fistula with intracranial drainage: an illustrative case. 显微外科切除颅内动静脉瘘：一例说明性病例。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID25109
Abdullah Keles, Ufuk Erginoglu, Mete Ugur, Kelsey Bowman, Beverly Aagaard-Kienitz, Mustafa K Baskaya
{"title":"Microsurgical resection of a scalp arteriovenous fistula with intracranial drainage: an illustrative case.","authors":"Abdullah Keles, Ufuk Erginoglu, Mete Ugur, Kelsey Bowman, Beverly Aagaard-Kienitz, Mustafa K Baskaya","doi":"10.3171/2025.7.FOCVID25109","DOIUrl":"10.3171/2025.7.FOCVID25109","url":null,"abstract":"<p><p>Scalp arteriovenous fistulas are abnormal connections between scalp arteries and draining veins without an intervening capillary bed. They may present as discolored nodules or pulsatile soft scalp lesions. These lesions are most commonly fed by the superficial temporal and occipital arteries with venous drainage typically occurring through extracranial veins. Intracranial venous drainage is rare. Management options include surgical excision, endovascular embolization, or direct intralesional sclerosing agent injection. Here the authors present a case of a scalp arteriovenous fistula with intracranial drainage treated with microsurgical resection by an expert interdisciplinary team, highlighting the importance of collaborative, tailored treatment strategies for optimal outcomes. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID25109.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V7"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open surgical management of a high-flow supratentorial pediatric pial arteriovenous fistula. 高流量儿科幕上动静脉瘘的开放手术治疗。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID25107
Lucinda Chiu, Jillian Plonsker, Ali Shaibani, Jonathan Scoville, Sandi Lam
{"title":"Open surgical management of a high-flow supratentorial pediatric pial arteriovenous fistula.","authors":"Lucinda Chiu, Jillian Plonsker, Ali Shaibani, Jonathan Scoville, Sandi Lam","doi":"10.3171/2025.7.FOCVID25107","DOIUrl":"10.3171/2025.7.FOCVID25107","url":null,"abstract":"<p><p>Pial arteriovenous fistulas (pAVFs) in pediatric patients are a rare, usually congenital, high-flow vascular anomaly. Because of their rarity, there are no consensus treatment guidelines. Although most pAVFs can be treated endovascularly, surgical treatment has yielded higher obliteration rates. Superficial pAVF varix location and angioarchitecture difficult for endovascular flow occlusion can also make resection more favorable. Here the authors present the case of an incidentally diagnosed left posterior parietal pAVF in a 14-year-old boy, which was treated successfully with a craniotomy and fistula ligation. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID25107.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V11"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pterional craniotomy for occlusion of a basal temporal arteriovenous fistula. 翼点开颅术治疗基底颞动静脉瘘闭塞。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2587
Anna L Huguenard, Charuta G Furey, Michael T Lawton
{"title":"Pterional craniotomy for occlusion of a basal temporal arteriovenous fistula.","authors":"Anna L Huguenard, Charuta G Furey, Michael T Lawton","doi":"10.3171/2025.7.FOCVID2587","DOIUrl":"10.3171/2025.7.FOCVID2587","url":null,"abstract":"<p><p>Atypical arteriovenous fistulas (AVFs) lack the parenchymal nidus observed in arteriovenous malformations (AVMs) and are not dural-based lesions supplied by meningeal arteries, unlike true dural AVFs. Atypical AVFs are parenchymally based with a nondural arterial supply. This video presents a man in his 50s with a remote carotid takedown for flow reduction of a described temporal AVM. Imaging showed a basal temporal AVF supplied by middle cerebral artery branches, coalescence of arterial feeders onto a large venous varix, and no intervening nidus. Dearterialization of the venous varix eliminated the shunting lesion. Atypical AVFs are often misdiagnosed but can be cured with microsurgical interruption. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2587.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing patient positioning for exoscopic cranial surgery. 外窥镜颅脑手术患者体位优化。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.3.FOCVID2524
Paul M Harary, David J Park, Steven D Chang, Michael Schulder
{"title":"Optimizing patient positioning for exoscopic cranial surgery.","authors":"Paul M Harary, David J Park, Steven D Chang, Michael Schulder","doi":"10.3171/2025.3.FOCVID2524","DOIUrl":"10.3171/2025.3.FOCVID2524","url":null,"abstract":"","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V20"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supraorbital eyebrow approach for ligation of an anterior fossa combined dural and pial arteriovenous fistula. 眶上眉入路结扎前窝硬脑膜及脑动静脉联合瘘。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2559
Ehsan Dowlati, Justin Turpin, Daniel Toscano, Kevin Shah, Amir R Dehdashti
{"title":"Supraorbital eyebrow approach for ligation of an anterior fossa combined dural and pial arteriovenous fistula.","authors":"Ehsan Dowlati, Justin Turpin, Daniel Toscano, Kevin Shah, Amir R Dehdashti","doi":"10.3171/2025.7.FOCVID2559","DOIUrl":"10.3171/2025.7.FOCVID2559","url":null,"abstract":"<p><p>Microsurgical treatment of arteriovenous fistulas (AVFs) of the anterior fossa is indicated when endovascular approaches carry excessive risk due to the involvement of the ethmoidal arteries. A 72-year-old male presenting with episodes of blurred vision was found to have an atypical Cognard type IV ethmoidal AVF with combined dural and pial supply from an orbitofrontal branch. He underwent supraorbital craniotomy via eyebrow incision for successful clip ligation of the AVF at the cribriform plate. The supraorbital eyebrow approach offers a minimally invasive corridor, enabling direct visualization and disconnection of anterior fossa AVFs while minimizing brain retraction and cosmetic impact. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2559.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V18"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical ligation of filum terminale type IV arteriovenous fistula with giant venous varix. 末丝型动静脉瘘伴大静脉曲张的手术结扎。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2536
George W Koutsouras, Raahim Bashir, Grahame Gould
{"title":"Surgical ligation of filum terminale type IV arteriovenous fistula with giant venous varix.","authors":"George W Koutsouras, Raahim Bashir, Grahame Gould","doi":"10.3171/2025.7.FOCVID2536","DOIUrl":"10.3171/2025.7.FOCVID2536","url":null,"abstract":"<p><p>The authors present the case of a type IVc filum terminale arteriovenous fistula in a female patient in her 40s, who presented with lower abdominal pain, back pain, and lower extremity weakness. MRI showed an intradural mass with serpiginous vessels. Spinal angiography revealed a type IVc perimedullary fistula primarily fed by the anterior spinal artery with a giant venous varix. Because of anatomical factors, endovascular embolization was not feasible, and surgical ligation was performed via laminectomy at L1-3. The fistula seen within the filum terminale was successfully clipped, with no further venous outflow on angiography. The patient recovered with complete symptom improvement. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2536.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V16"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscope-assisted supraorbital eyebrow approach for the treatment of ethmoidal dural arteriovenous fistula. 内窥镜辅助眶上眉入路治疗筛膜硬膜动静脉瘘。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2580
Marcello D'Andrea, Roberta Costanzo, Valentina Ricci, Dalila Fuschillo, Jacopo Visani, Luigino Tosatto
{"title":"Endoscope-assisted supraorbital eyebrow approach for the treatment of ethmoidal dural arteriovenous fistula.","authors":"Marcello D'Andrea, Roberta Costanzo, Valentina Ricci, Dalila Fuschillo, Jacopo Visani, Luigino Tosatto","doi":"10.3171/2025.7.FOCVID2580","DOIUrl":"10.3171/2025.7.FOCVID2580","url":null,"abstract":"<p><p>Ethmoidal DAVFs represent 10%-15% of all intracranial DAVFs. They are generally associated with a higher bleeding risk due to more malignant drainage characteristics and, regardless of a patient's symptoms, their treatment is highly recommended. Surgical disconnection has long been regarded as the gold-standard treatment for ethmoidal DAVFs, but several reports of successful endovascular treatments have been made. The authors present a case of a 65-year-old patient with an occasional finding of ethmoidal DAVF treated through an endoscope-assisted supraorbital eyebrow approach. In this video, they explain the radiographical, anatomical, and surgical considerations and demonstrate the surgical technique. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2580.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Type V tentorial dural arteriovenous fistula: a case of augmented reality-assisted surgical salvage. 增强现实辅助手术抢救V型脑幕硬膜动静脉瘘1例。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2541
Chih-Wei Huang, Chung-Hsin Lee, Kai-Chen Chung, Wen-Hsien Chen, Yuang-Seng Tsuei
{"title":"Type V tentorial dural arteriovenous fistula: a case of augmented reality-assisted surgical salvage.","authors":"Chih-Wei Huang, Chung-Hsin Lee, Kai-Chen Chung, Wen-Hsien Chen, Yuang-Seng Tsuei","doi":"10.3171/2025.7.FOCVID2541","DOIUrl":"10.3171/2025.7.FOCVID2541","url":null,"abstract":"<p><p>This video demonstrates the case of a Cognard type V tentorial dural arteriovenous fistula that was successfully salvaged using augmented reality-assisted microsurgery following failed endovascular embolization. The patient had a spastic gait and quadrilateral numbness. MRI showed medullary edema and abnormal vessels near the tentorium. DSA confirmed a shunt fed by the meningohypophyseal trunk draining into perimedullary veins. Initial embolization was unsuccessful. Using CISS MRI and augmented reality projection, the authors identified and ligated the arterialized veins, relieving venous hypertension. Postoperative imaging showed improvement of the brainstem edema. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2541.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V14"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical occlusion of C1 spinal dural arteriovenous fistula. 手术封堵C1硬脊膜动静脉瘘。
Neurosurgical focus: Video Pub Date : 2025-10-01 DOI: 10.3171/2025.7.FOCVID2573
Karl L Sangwon, Eric A Grin, James S Ryoo, Eytan Raz, Ilya Laufer, Erez Nossek
{"title":"Surgical occlusion of C1 spinal dural arteriovenous fistula.","authors":"Karl L Sangwon, Eric A Grin, James S Ryoo, Eytan Raz, Ilya Laufer, Erez Nossek","doi":"10.3171/2025.7.FOCVID2573","DOIUrl":"10.3171/2025.7.FOCVID2573","url":null,"abstract":"<p><p>Spinal dural arteriovenous fistulas (dAVFs) at the craniocervical junction are rare vascular lesions that can cause progressive myelopathy and paralysis. This video presents a 40-year-old male with a left C1 spinal dAVF, who experienced unsteadiness, dizziness, leg weakness, and intermittent facial numbness. Given the lesion's symptomatology, the patient underwent a C1 laminectomy and midline suboccipital craniectomy for definitive obliteration. The authors describe key surgical techniques for fistula exposure and obliteration, with intraoperative angiographic confirmation. Long-term follow-up confirmed complete persistent occlusion on angiography and resolution of his symptoms. This case highlights surgical strategies for managing dAVFs at the craniocervical level. The video can be found here: https://stream.cadmore.media/r10.3171/2025.7.FOCVID2573.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 2","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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