Axial illustration (A) of a retrosigmoid craniotomy reveals a typical exposure of the CPA and lateral IAC by drilling through the posterior meatal lip.

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Presentation transcript:

Axial illustration (A) of a retrosigmoid craniotomy reveals a typical exposure of the CPA and lateral IAC by drilling through the posterior meatal lip. Axial illustration (A) of a retrosigmoid craniotomy reveals a typical exposure of the CPA and lateral IAC by drilling through the posterior meatal lip. Intraoperative image (B) reveals excellent exposure of the CPA VS and adjacent cranial nerves (CNs V, IX–XI). A second intraoperative image (C) following removal of the posterior face of the IAC wall exposes the intrameatal component of the VS (IAC VS). Immediate postoperative noncontrast axial CT (D) and a contrast-enhanced T1WI with fat-suppression (E) demonstrate a retrosigmoid craniectomy with a defect in the posterior meatal lip (arrow) and a residual extrameatal enhancing VS on the contrast-enhanced T1WI. A is reproduced with permission from the University of Rochester. E.P. Lin, and B.T. Crane AJNR Am J Neuroradiol 2017;38:2034-2043 ©2017 by American Society of Neuroradiology