PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 1998; 8(1): 1–9.
PMCID: PMC1656656

The Vulnerability of the Vein of Labbé During Combined Craniotomies of the Middle and Posterior Fossae

Abstract

During combined middle and posterior cranial fossae (“petrosal”) approaches to the skull base, the anastamotic vein of Labbe, which bridges between the inferior surface of the temporal lobe and the transverse sinus is placed at risk. Occlusion of this vein, which may drain a large section of the temporal and parietal lobes, may lead to speech, memory, and/or other cognitive disorders. Labbe may be injured along its course on the inferior aspect of the temporal lobe where it may be laceraed during dural incision or thrombosed due to prolonged or overly vigorous retraction. The anastamotic segment of the vein, which bridges between the temporal lobe and transverse sinus, may be avulsed during elevation of the temporal lobe or injured during tentorial division. Labbé may course in close proximity to the upper surface of the tentorium or even travel within it for a short segment of its course en route to the transverse sinus. This article reviews the anatomy of the vein of Labbé, discusses its clinical significance, and highlights the technical points relevant to the preservation of this important structure.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (3.6M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Oka K, Rhoton AL, Jr, Barry M, Rodriguez R. Microsurgical anatomy of the superficial veins of the cerebrum. Neurosurgery. 1985 Nov;17(5):711–748. [PubMed]
  • Koperna T, Tschabitscher M, Knosp E. The termination of the vein of "Labbé" and its microsurgical significance. Acta Neurochir (Wien) 1992;118(3-4):172–175. [PubMed]
  • DI CHIRO G. Angiographic patterns of cerebral convexity veins and superficial dural sinuses. Am J Roentgenol Radium Ther Nucl Med. 1962 Feb;87:308–321. [PubMed]
  • Dorndorf D, Wessel K, Kessler C, Kömpf D. Thrombosis of the right vein of Labbé: radiological and clinical findings. Neuroradiology. 1993;35(3):202–204. [PubMed]
  • Yokota T, Ishiai S, Furukawa T, Tsukagoshi H. Pure agraphia of kanji due to thrombosis of the Labbé vein. J Neurol Neurosurg Psychiatry. 1990 Apr;53(4):335–338. [PMC free article] [PubMed]
  • Cambria S. Infarctus cérébral hémorragique par thrombose de la veine de Labbé. Rev Neurol (Paris) 1980;136(4):321–326. [PubMed]
  • Al-Mefty O, Fox JL, Smith RR. Petrosal approach for petroclival meningiomas. Neurosurgery. 1988 Mar;22(3):510–517. [PubMed]
  • Samii M, Ammirati M. The combined supra-infratentorial pre-sigmoid sinus avenue to the petro-clival region. Surgical technique and clinical applications. Acta Neurochir (Wien) 1988;95(1-2):6–12. [PubMed]
  • Ammirati M, Samii M. Presigmoid sinus approach to petroclival meningiomas. Skull Base Surg. 1992;2(3):124–128. [PMC free article] [PubMed]
  • Kinney SE, Hughes GB, Little JR. Retrolabyrinthine transtentorial approach to lesions of the anterior cerebellopontine angle. Am J Otol. 1992 Sep;13(5):426–430. [PubMed]
  • Canalis RF, Black K, Martin N, Becker D. Extended retrolabyrinthine transtentorial approach to petroclival lesions. Laryngoscope. 1991 Jan;101(1 Pt 1):6–13. [PubMed]
  • Spetzler RF, Daspit CP, Pappas CT. Combined approach for lesions involving the cerebellopontine angle and skull base: experience with 30 cases. Skull Base Surg. 1991;1(4):226–234. [PMC free article] [PubMed]
  • Herzog JA, Bucholz R, Hoffman W. The trans-sigmoid, retrolabyrinthine, transtentorial approach to the brainstem. Otolaryngol Head Neck Surg. 1991 Jan;104(1):130–131. [PubMed]
  • Thedinger BA, Glasscock ME, 3rd, Cueva RA. Transcochlear transtentorial approach for removal of large cerebellopontine angle meningiomas. Am J Otol. 1992 Sep;13(5):408–415. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers