CRANIO-ORBITAL APPROACH FOR THE PARACLINOIDAL AND ANTERIOR COMMUNICATING ANEURYSMS

被引:3
作者
DESOUZA, JM [1 ]
RODRIGUES, FF [1 ]
DESILVA, MR [1 ]
MARON, R [1 ]
MARTINS, L [1 ]
DOSOUTO, AA [1 ]
LIMA, LS [1 ]
机构
[1] UNIV FED RIO DE JANEIRO,HOSP CLEMENTINO FRAGA FILHO,DEPT SURG,NEUROSURG SERV,BR-21941590 RIO JANEIRO,BRAZIL
关键词
INTRACRANIAL ANEURYSMS; PARACLINOIDAL ANEURYSMS; SKULL BASE SURGERY; SUBARACHNOID HEMORRHAGE;
D O I
10.1590/S0004-282X1995000400007
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
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.
引用
收藏
页码:592 / 597
页数:6
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