Document Detail


Cranial base approaches to intracranial aneurysms in the subarachnoid space.
MedLine Citation:
PMID:  7800139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of cranial base approaches to aneurysm surgery is illustrated by means of patient examples. Over a 9-year period, cranial base approaches were used to expose and treat 38 aneurysms involving the anterior communicating artery complex, proximal internal carotid artery, basilar artery, or vertebral artery. The approaches included orbital osteotomy, orbitozygomatic osteotomy, petrous apicectomy, presigmoid petrosectomy, and extreme lateral transcondylar methods. Complications related to the approaches included one partial ptosis and two cerebrospinal fluid leaks, which resolved with treatment. The technique of three-dimensional computed tomographic angiography was useful in delineating the vascular anatomy and its relation to the cranial base structures. This helped the surgeon plan the appropriate approach to the aneurysm. Cranial base approaches, used selectively, can provide improved exposure of deep-seated aneurysms and large or giant aneurysms, while minimizing brain retraction.
Authors:
L N Sekhar; K K Kalia; H Yonas; D C Wright; H Ching
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  35     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-01-26     Completed Date:  1995-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  472-81; discussion 481-3     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, George Washington University Medical Center, Washington, District of Columbia.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Ruptured / diagnosis,  surgery
Basilar Artery / surgery
Carotid Artery, Internal / surgery
Craniotomy / methods*
Follow-Up Studies
Humans
Image Processing, Computer-Assisted
Intracranial Aneurysm / diagnosis,  surgery*
Postoperative Complications / etiology
Subarachnoid Space / blood supply
Tomography, X-Ray Computed
Vertebral Artery / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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