title: Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report.
abstract: Fibrin glue injection has been used to control intraoperative cavernous sinus (CS) venous bleeding. There have been no reported complications related to this maneuver. We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the posterior CS during resection of a petrosal meningioma. We believe that this deficit was due to the compression of the trigeminal ganglion similar to balloon compression procedures. Although fibrin glue injection may achieve satisfactory cavernous sinus homeostasis, the volume and rate of injection should be kept in mind to avoid a compressive lesion on traversing cranial nerves and surrounding structures, or retrograde filling of the venous tributaries.
authors.affiliation: Department of Neurosurgery, University of Florida College of Medicine, Jacksonville, Florida, United States.
authors.forename: Daryoush
authors.initials: D
authors.lastname: Tavanaiepour
authors.affiliation: Department of Neurosurgery, University of Miami, Miami, Florida, United States.
authors.forename: Sarah
authors.initials: S
authors.lastname: Jernigan
authors.affiliation: Department of Neurosurgery, Ain Shams University, Cairo, Egypt.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Abolfotoh
authors.affiliation: Department of Neurosurgery, Brigham and Women's Hospital and Harvard School of Medicine, Boston, Massachusetts, United States.
authors.forename: Ossama
authors.initials: O
authors.lastname: Al-Mefty
keywords: cavernous sinus; cranial nerve; fibrin glue