Paraclinoid aneurysms clipping through an extradural sphenoid ridge keyhole approach.
Cerebral aneurysm
Cerebrovascular surgery
Keyhole approach
Paraclinoid aneurysm
Sphenoid ridge
Surgical anatomy
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
18
05
2023
accepted:
06
08
2023
medline:
4
10
2023
pubmed:
7
9
2023
entrez:
7
9
2023
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
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.
METHOD
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.
CONCLUSION
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.
Identifiants
pubmed: 37676506
doi: 10.1007/s00701-023-05760-x
pii: 10.1007/s00701-023-05760-x
pmc: PMC10541827
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2837-2841Informations de copyright
© 2023. The Author(s).
Références
Chi JH, Sughrue M, Kunwar S, Lawton MT (2006) The «yo-yo» technique to prevent cerebrospinal fluid rhinorrhea after anterior clinoidectomy for proximal internal carotid artery aneurysms. Neurosurgery 59(1 Suppl 1):ONS101-7. https://doi.org/10.1227/01.NEU.0000219962.15984.34 . discussion ONS101-7
doi: 10.1227/01.NEU.0000219962.15984.34
pubmed: 16888539
Hakuba A, Nishimura S, Shirakata S, Tsukamoto M (1982) Surgical approaches to the cavernous sinus: report of 19 cases. Neurol Med Chir (Tokyo) 22(4):295–308. https://doi.org/10.2176/nmc.22.295
doi: 10.2176/nmc.22.295
pubmed: 6179002
Iwasaki K, Toda H, Hashikata H, Goto M, Fukuda H (2018) Extradural anterior clinoidectomy and optic canal unroofing for paraclinoid and basilar aneurysms: usefulness of a no-drill instrumental method. Acta Neurochir Suppl 129:39–42. https://doi.org/10.1007/978-3-319-73739-3_6
doi: 10.1007/978-3-319-73739-3_6
pubmed: 30171312
Kamide T, Burkhardt J-K, Tabani H, Safaee M, Lawton MT (2020) Microsurgical clipping techniques and outcomes for paraclinoid internal carotid artery aneurysms. Oper Neurosurg (Hagerstown) 18(2):183–92. https://doi.org/10.1093/ons/opz157
doi: 10.1093/ons/opz157
pubmed: 31515556
Krayenbühl N, Hafez A, Hernesniemi JA, Krisht AF (2007) Taming the cavernous sinus: technique of hemostasis using fibrin glue: technique of hemostasis using fibrin glue. Neurosurgery 61(3 Suppl):E52. https://doi.org/10.1227/01.neu.0000289712.72555.9c . discussion E52
doi: 10.1227/01.neu.0000289712.72555.9c
pubmed: 17876221
Nathal E, Gomez-Amador JL (2005) Anatomic and surgical basis of the sphenoid ridge keyhole approach for cerebral aneurysms. Neurosurgery 56(1 Suppl):178–85. https://doi.org/10.1227/01.neu.0000145967.66852.96 . discussion 178-85
doi: 10.1227/01.neu.0000145967.66852.96
pubmed: 15799808
Nathal E, Akinduro OO, Castillo-Velazquez G, Tawk RG (2022) Surgical treatment of paraclinoid aneurysms. En: Quiñones-Hinojosa A, editor. Schmidek and Sweet: Operative Neurosurgical Techniques. Elsevier, pp 527–544. https://www-clinicalkey-es.ez.urosario.edu.co/#!/content/book/3-s2.0-B9780323414791000461 . Accessed 16 June 2023
Ota N, Tanikawa R, Miyazaki T, Miyata S, Oda J, Noda K (2015) Surgical microanatomy of the anterior clinoid process for paraclinoid aneurysm surgery and efficient modification of extradural anterior clinoidectomy. World Neurosurg 83(4):635–43. https://doi.org/10.1016/j.wneu.2014.12.014
doi: 10.1016/j.wneu.2014.12.014
pubmed: 25527880
Ota N, Petrakakis I, Noda K, Miyazaki T, Kondo T, Kinoshita Y (2020) Predictor of visual impairment following paraclinoid aneurysm surgery: special consideration of surgical microanatomy related to paraclinoid structures. Oper Neurosurg (Hagerstown) 20(1):45–54. https://doi.org/10.1093/ons/opaa298
doi: 10.1093/ons/opaa298
pubmed: 33047135
Seoane E, Rhoton AL Jr, de Oliveira E (1998) Microsurgical anatomy of the dural collar (carotid collar) and rings around the clinoid segment of the internal carotid artery. Neurosurgery 42(4):869–84. https://doi.org/10.1097/00006123-199804000-00108 . discussion 884-6
doi: 10.1097/00006123-199804000-00108
pubmed: 9574652