Cranio-orbital approach for the paraclinoidal and anterior communicating aneurysms

Arquivos de Neuro-Psiquiatria

Jorge Marcondes De Souza¹  Flávio F. Rodrigues¹  Marcelo R. Da Silva¹  Ricardo Maron¹  Leonardo Martins¹  Antonio A. Do Souto¹  Luciara S. Lima¹ 

[1] ,Universidade Federal do Rio de Janeiro Hospital Universitário Clementino Fraga Filho Department of Surgery

关键词: intracranial aneurysms;    paraclinoidal aneurysms;    skull base surgery;    subarachnoid hemorrhage;    aneurisma intracraniano;    aneurisma paraclinóideo;    cirurgia da base do crânio;    hemorragia subaracnóidea;   

DOI  :  10.1590/S0004-282X1995000400007

来源: SciELO

【 摘 要 】

Aneurysms arising at the proximal intracranial carotid artery (between cavernous sinus and posterior communicating artery) and at the anterior communicating complex may present with technical difficulties regarding appropriate access without excessive brain retraction. In a series of 15 patients the authors show the use of the cranio-orbital approach, formerly designed in the access of skull base tumors, for these subgroups of aneurysms. They discuss the advantages of a basal avenue in minimizing brain retraction, better anatomical orientation, obviation of tissue ressection and easier extra-dural bone removal. It was not identified any complication due to the described approach.

【 授权许可】

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