Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Acta Neurochirurgica
Published in: Acta Neurochirurgica 3/2019

01-03-2019 | Motor Evoked Potential | How I Do it - Vascular Neurosurgery - Aneurysm

Step-wise pterional combined epidural and subdural approach to clip large carotid-ophthalmic segment aneurysms

Authors: Peng Hu, Hong-Qi Zhang, Xing-Juan Li

Published in: Acta Neurochirurgica | Issue 3/2019

Login to get access

Abstract

Background

Microsurgical clipping of large ophthalmic-carotid artery (OA) aneurysms is technically challenging. Among the reported approaches, pterional combined epidural and subdural approach is one of the efficient choices.

Method

We have applied this approach to treat a 33-year old female patient with a left large OA aneurysm. The step-wise technical details of this approach are reported.

Conclusion

We show that it is a safe way to clip large OA aneurysms through a step-wise pterional combined epidural and subdural approach, which could make a clear anatomy and a confident manipulation.
Appendix
Available only for authorised users
Literature
1.
Dolenc VV (1985) A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62:667–672CrossRefPubMed
2.
Dolenc VV (1999) A combined transorbital-transclinoid and transsylvian approach to carotid-ophthalmic aneurysms without retraction of the brain. Acta Neurochir Suppl 72:89–97PubMed
3.
Hakuba A, Tanaka K, Suzuki T, Nishimura S (1989) A combined orbitozygomatic infratemporal epidural and subdural approach for lesions involving the entire cavernous sinus. J Neurosurg 71:699–704CrossRefPubMed
4.
Umansky F, Nathan H (1982) The lateral wall of the cavernous sinus. With special reference to the nerves related to it. J Neurosurg 56:228–234CrossRefPubMed
Metadata
Title
Step-wise pterional combined epidural and subdural approach to clip large carotid-ophthalmic segment aneurysms
Authors
Peng Hu
Hong-Qi Zhang
Xing-Juan Li
Publication date
01-03-2019
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2019
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03833-4

Other articles of this Issue 3/2019

Acta Neurochirurgica 3/2019 Go to the issue

Original Article - Brain Tumors

Influence of pregnancy on glioma patients

Original Article - Brain trauma

Variation in neurosurgical management of traumatic brain injury: a survey in 68 centers participating in the CENTER-TBI study

Original Article - Brain Trauma

Pharmacological management of post-traumatic seizures in adults: current practice patterns in the UK and the Republic of Ireland

Correction

Correction to: Experiences with a temporary synthetic skin substitute after decompressive craniectomy: a retrospective two-center analysis

Letter to the editor - Vascular Neurosurgery - Aneurysm

Comment on article of Zheng J, Xu R, Liu G, Guo Z, Sun X (2018): effect of premorbid hypertension control on outcome of patients with aneurysmal subarachnoid hemorrhage

EDITORIAL (BY INVITATION) - TUMOR - GLIOMA

Radiological evaluation of low-grade glioma: time to embrace quantitative data?