关键词: Cerebral aneurysm Cerebrovascular surgery Keyhole approach Paraclinoid aneurysm Sphenoid ridge Surgical anatomy

Mesh : Humans Intracranial Aneurysm / diagnostic imaging surgery Neurosurgical Procedures / methods Microsurgery / methods Sphenoid Bone / diagnostic imaging surgery

来  源:   DOI:10.1007/s00701-023-05760-x   PDF(Pubmed)

Abstract:
Paraclinoid aneurysms represent a challenge for neurosurgeons due to the anatomical complexity of this region. Then, innovative techniques such as the extradural sphenoid ridge approach are suitable for a safe microsurgical clipping.
A description of the surgical technique was made by the senior author, a vascular neurosurgeon experienced with the use of this approach in the management of paraclinoid aneurysms exemplified through a clinical case.
Microsurgical clipping through an extradural sphenoid ridge keyhole approach for small and midsize paraclinoid aneurysms is an excellent treatment modality with good clinical and surgical results.
摘要:
背景:由于该区域的解剖复杂性,对神经外科医生来说是一个挑战。然后,创新技术,如硬膜外蝶骨脊入路适用于安全的显微外科手术夹闭。
方法:资深作者对手术技术进行了描述,一位血管神经外科医生通过临床病例举例说明了使用这种方法治疗突旁动脉瘤的经验。
结论:经硬膜外蝶骨脊锁孔入路显微手术夹闭治疗中小型肩囊旁动脉瘤是一种良好的治疗方法,具有良好的临床和手术效果。
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