کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5633740 1581446 2018 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Falxuplication, a Novel Method for Wrap-Clipping a Fusiform Aneurysm: Technical Note
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Falxuplication, a Novel Method for Wrap-Clipping a Fusiform Aneurysm: Technical Note
چکیده انگلیسی

BackgroundVarious techniques have been used for wrap-clipping a ruptured, fusiform intracranial aneurysm; however, there is no available literature on use of the falx cerebri for wrap-clipping. We present a review of the literature, with an illustrative case, of a ruptured fusiform pericallosal artery aneurysm firmly attached to the lower edge of the falx cerebri and not amenable to endovascular intervention.MethodsAlthough the firm attachment between the inferior falx and the fusiform aneurysm was maintained, a section of the lower thinner part of the falx cerebri firmly attached to the aneurysm was dissected and wrapped around the fusiform aneurysm, and then stabilized with a fenestrated clip. We chose a segment slightly longer than the length of the fusiform aneurysm to avoid pre- and post-wrap-clipping stenosis.ResultsPostprocedure, except for a small area of numbness on the left distal anterolateral left leg, the patient was neurologically intact and remained neurologically intact at a 12-month follow-up.ConclusionsAn inferior thin segment of the falx cerebri can be used for wrap-clipping of ruptured fusiform anterior cerebral artery aneurysms. Furthermore, the inferior falx can be wrapped around the attached fusiform anterior cerebral artery aneurysm without compromising flow, offering a safe solution in these unusually complex cases.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: World Neurosurgery - Volume 109, January 2018, Pages 40-46
نویسندگان
, , , , , , ,