Head positioning for anterior circulation aneurysms microsurgery

Arquivos de Neuro-Psiquiatria

Feres Chaddad-neto¹  Hugo Leonardo Doria-netto¹  José Maria De Campos-filho¹  Eduardo Santamaria Carvalhal Ribas¹  Guilherme Carvalhal Ribas¹  Evandro De Oliveira¹ 

关键词: cerebral aneurysm;    head positioning;    anatomical landmarks;    anterior circulation arteries;    microsurgery;    aneurisma cerebral;    posicionamento da cabeça;    reparos anatômicos;    artérias da circulação anterior;    microcirurgia;   

DOI  :  10.1590/0004-282X20140156

来源: SciELO

【 摘 要 】

Objective To study the ideal patient's head positioning for the anterior circulation aneurysms microsurgery. Method We divided the study in two parts. Firstly, 10 fresh cadaveric heads were positioned and dissected in order to ideally expose the anterior circulation aneurysm sites. Afterwards, 110 patients were submitted to anterior circulation aneurysms microsurgery. During the surgery, the patient's head was positioned accordingly to the aneurysm location and the results from the cadaveric study. The effectiveness of the position was noted. Results We could determine mainly two patterns for head positioning for the anterior circulation aneurysms. Conclusion The best surgical exposure is related to specific head positions. The proper angle of microscopic view may minimize neurovascular injury and brain retraction.

【 授权许可】

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