2025 Proffered Presentations
V038: TREATMENT OF A RECURRENT CAVERNOUS SINUS MENINGIOMA CAUSING SEVERE ICA STENOSIS: IMAX-RAG-M2 BYPASS, ICA COILING, AND TUMOR RESECTION
Sonia Ajmera, MD1; Stephen P Miranda, MD1; Phillip J Storm, MD2; Jan-Karl Burkhardt, MD1; 1University of Pennsylvania Health System, Department of Neurosurgery; 2Children's Hospital of Philadelphia, Department of Neurosurgery
We present a case of progressive cavernous sinus meningioma causing severe ICA stenosis in a patient who failed a balloon occlusion test but wanted aggressive treatment. We performed a left orbitozygomatic craniotomy for internal maxillary artery to M2 bypass via a radial artery interposition graft and coiling of the petrous ICA to allow later sacrifice during tumor resection.