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The Pterional Approach and Extradural Anterior Clinoidectomy to Clip Paraclinoid Aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery ; : 260-266, 2013.
Artigo em Inglês | WPRIM | ID: wpr-54467
ABSTRACT

OBJECTIVE:

The surgical clipping of paraclinoid segment internal carotid artery aneurysms is considered difficult because of the complex anatomical location and important neighboring structures. Our experiences of pterional craniotomy and extradural anterior clinoidectomy (EAC) to clip paraclinoid aneurysms are reported herein.

METHODS:

We present two patients with paraclinoid aneurysms who underwent surgical clipping using pterional craniotomy and EAC. The clinical results and operative techniques were reviewed from the patients' medical records.

RESULTS:

EAC improves the surgical field in the suprasellar and periclinoid regions. Clinically, a good outcome was obtained in both cases. No surgical complications directly resulting from the EAC were observed.

CONCLUSION:

Favorable surgical results can be obtained with pterional craniotomy and EAC for the clipping of paraclinoid aneurysms. EAC is advocated for the clipping of paraclinoid aneurysms.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Instrumentos Cirúrgicos / Artéria Carótida Interna / Craniotomia / Aminocaproatos / Aneurisma Limite: Humanos Idioma: Inglês Revista: Journal of Cerebrovascular and Endovascular Neurosurgery Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Instrumentos Cirúrgicos / Artéria Carótida Interna / Craniotomia / Aminocaproatos / Aneurisma Limite: Humanos Idioma: Inglês Revista: Journal of Cerebrovascular and Endovascular Neurosurgery Ano de publicação: 2013 Tipo de documento: Artigo