کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3094114 1190554 2006 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Microsurgical experience with keyhole operations on intracranial aneurysms
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Microsurgical experience with keyhole operations on intracranial aneurysms
چکیده انگلیسی

BackgroundWe report our experience with keyhole approaches as favorable treatments for various intracranial aneurysms including multiple aneurysms and giant aneurysms.MethodsAccording to the different locations of 105 aneurysms harbored in 100 patients, different keyhole approaches were designed elaborately, among which a supraorbital keyhole approach was used in 91 cases, a pterional keyhole approach in 5 cases, a subtemporal keyhole approach in 3 cases, a retromastoid keyhole approach in 2 cases, and a unifrontal interhemispheric keyhole approach in 1 case.ResultsAmong those 105 aneurysms, 99 were clipped successfully, including 4 that were resected after clipping. One mini-aneurysm was wrapped. The other aneurysms were trapped, including 1 VA aneurysm, 1 giant ICA aneurysm, 1 giant PCoA aneurysm, and 2 giant aneurysms in the PCAs (P2-P3 segment). Multiple aneurysms in 5 cases were treated in 1 surgical session, including 3 cases via unilateral approaches and 2 cases via bilateral approaches. There were no severe keyhole approach–related complications in this present series.ConclusionThe keyhole approaches, based on improvements in diagnostic imaging, advanced surgical instruments, and microsurgical skills, are effective and ideal craniotomy techniques in the hands of experienced neurosurgeons for the treatment of intracranial aneurysms, including multiple and giant aneurysms, in patients without diffuse SAH, severe cerebral vasospasm, and severe brain edema or brain swelling.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Surgical Neurology - Volume 66, Supplement 1, September 2006, Pages S2–S9
نویسندگان
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