Skull base approaches to complex cerebral aneurysms
| Autor: | Yahgoub Tarassoli, O. Howard Reichman, Ossama Al-Mefty, T.C. Origitano, Douglas E. Anderson |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Aneurysm Ruptured Medical illustration Postoperative Complications Aneurysm medicine.artery Medical Illustration medicine Basilar artery Humans cardiovascular diseases Aged Aged 80 and over medicine.diagnostic_test business.industry Skull Intracranial Aneurysm Magnetic resonance imaging Clipping (medicine) Middle Aged medicine.disease Magnetic Resonance Imaging Cerebral Angiography Surgery medicine.anatomical_structure Ophthalmic artery cardiovascular system Female Neurology (clinical) Tomography X-Ray Computed business Cerebral angiography |
| Zdroj: | Surgical Neurology. 40:339-346 |
| ISSN: | 0090-3019 |
| DOI: | 10.1016/0090-3019(93)90148-t |
| Popis: | The authors used skull base approaches to improve the surgical treatment of cerebral aneurysms. These approaches facilitate aneurysm surgery by allowing early proximal and distal vascular control, shortening and widening of the operative field, increasing the range of the surgeon's operative view and motion, and alleviating brain retraction. Twenty-two patients with ruptured giant or complex aneurysms were operated upon acutely using skull base approaches appropriate for their location: (1) the orbitocranial approach for anterior circulation, ophthalmic artery, and intracavernous lesions (n = 10); (2) the orbitozygomatic approach for aneurysms of the upper third of the basilar artery (n = 6); (3) the petrosal approach for aneurysms of the middle third of the basilar artery (n = 2); and (4) the far lateral-transcondylar approach for vertebrobasilar aneurysms (n = 4). Clipping and dissection of the aneurysms was facilitated by the skull base approaches. No surgical mortality occurred in this series of patients; transient cranial nerve paresis was the only morbidity related to the approaches. We compare the three-dimensional spatial geometry of skull base and conventional approaches, and discuss the advantages and nuances of skull base approaches. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|