Clip Ligation of Midsegment M1 Artery Aneurysm through a Lateral Supraorbital Approach: 2-Dimensional Operative Video.
Aneurysm clipping
Lateral supraorbital craniotomy
MCA aneurysm
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
22
09
2020
revised:
01
12
2020
accepted:
02
12
2020
pubmed:
15
12
2020
medline:
6
7
2021
entrez:
14
12
2020
Statut:
ppublish
Résumé
Lenticulostriate middle cerebral artery (MCA) aneurysms are rare and often involve perforating vessels, making endovascular treatment difficult. When projecting superiorly, aneurysm rupture can likely cause intraparenchymal hemorrhage in basal ganglia. Consequently, surgical clip ligation requires control not to aggressively elevate the frontal lobe to avoid intraoperative injury. We report a case of a growing right midsegment MCA aneurysm treated with clip ligation via a lateral supraorbital approach (LSO). The patient is a 71-year-old female found to have a 4 mm × 3 mm right M1 aneurysm in 2014 on workup for headaches. Subsequent imaging demonstrated aneurysm growth to 6 mm × 3.1 mm with peaked-dome appearance. The growth and location of the aneurysm led us to recommend open surgical treatment; the patient provided informed written consent to proceed. We performed a standard right-sided LSO approach.
Identifiants
pubmed: 33309897
pii: S1878-8750(20)32583-3
doi: 10.1016/j.wneu.2020.12.019
pii:
doi:
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
79Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.