Skull Base Neurointerventional Techniques

Zachary M Wilseck; Leanne Lin; Joseph J Gemmete; Aditya S Pandey; Ashok Srinivasan; Neeraj Chaudhary

doi:10.1016/j.nic.2021.06.007

Skull Base Neurointerventional Techniques

Neuroimaging Clin N Am. 2021 Nov;31(4):649-664. doi: 10.1016/j.nic.2021.06.007.

Authors

Zachary M Wilseck¹, Leanne Lin², Joseph J Gemmete³, Aditya S Pandey⁴, Ashok Srinivasan⁵, Neeraj Chaudhary⁶

Affiliations

¹ Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, B1D330, Ann Arbor, MI 48109, USA. Electronic address: [email protected].
² Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, B1D330, Ann Arbor, MI 48109, USA. Electronic address: https://twitter.com/LinYuanci.
³ Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, B1D328, Ann Arbor, MI 48109, USA.
⁴ Department of Neurosurgery, University of Michigan, 1500 E. Medical Center Dr, #5338 Attn: Dr. Pandey, Ann Arbor, MI 48109, USA.
⁵ Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, B2A209D, Ann Arbor, MI 48109, USA. Electronic address: https://twitter.com/AshokSrini15.
⁶ Department of Radiology, University of Michigan, 1500 E. Medical Center Dr, B1D330A, Ann Arbor, MI 48109, USA.

PMID: 34689937
DOI: 10.1016/j.nic.2021.06.007

Abstract

Neurodiagnostic and neurointerventional radiology (NIR) play a central role in the diagnosis and treatment of skull base disorders. Noninvasive imaging modalities, including computed tomography and magnetic resonance imaging, are important in lesion localization, evaluation of lesion extent, and diagnosis, but cannot always be definitive. Image-guided skull base biopsy and percutaneous and endovascular treatment options are important tools in the diagnosis and treatment of head, neck, and skull base disorders. NIR plays an important role in the treatment of vascular disorders of the skull base. This article summarizes the imaging evaluation and interventional therapies pertinent to the skull base.

Keywords: Dural arteriovenous fistulas; Epistaxis and sinonasal bleeding; Neurointervention; Skull base biopsy; Tumor ablation; Venous sinus stenosis.

Publication types

Review

MeSH terms

Humans
Image-Guided Biopsy
Magnetic Resonance Imaging*
Skull Base* / diagnostic imaging
Skull Base* / surgery
Tomography, X-Ray Computed