Description:

This soundless video of surgery for a large left-sided skull base meningioma shows intra-operative vasospasm of the internal carotid artery followed by treatment with direct application of papaverine. The patient is a 45-year-old woman who presented with headache and periods of confusion. A gross-total resection of her tumor was achieved. Following surgery, she experienced a transient left oculomotor nerve palsy that resolved on post-operative day No. 3. For additional reading, refer to the following: Michael E. Sughrue, MD; Ari J. Kane, BA; Gopal Shangari, AB; Martin J. Rutkowski, BA; Michael W. McDermott, MD; Mitchel S. Berger, MD; and Andrew T. Parsa, MD, PhD. Journal of Neurosurgery. Nov 2010, Vol. 113, No. 5, Pages 1029-1035: 1029-1035.