Thieme E-Journals - Journal of Neurological Surgery Part B: Skull Base / Abstract
J Neurol Surg B Skull Base 2026; 87(S 01): S1-S548
DOI: 10.1055/s-0046-1819439
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Extreme Far Lateral Approach for the Resection of the C1 Transverse Process to Relieve Symptomatic Jugular Stenosis

Authors

  • Hayes H Patrick

    1   George Washington University, Washington, District of Columbia, United States
  • Madeleine Smith

    1   George Washington University, Washington, District of Columbia, United States
  • Ban Shoukeir

    1   George Washington University, Washington, District of Columbia, United States
  • Saleem Abdulrauf

    1   George Washington University, Washington, District of Columbia, United States
  • Michael Rosner

    1   George Washington University, Washington, District of Columbia, United States
 

This is a rare case presentation of symptomatic intracranial hypertension from compression of the right internal jugular vein by the transverse process of C1. The patient underwent an extreme far lateral approach for the resection of the transverse process of C1 to decompress her intracranial venous outflow. Special surgical consideration was made for the preservation of the superficial veins that contributed to anastomotic venous flow, as well as the jugular vein and the vertebral artery.



Publication History

Article published online:
27 February 2026

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