Clipping of large partially thrombosed sylvian bifurcation aneurysm with a minipterional approach
DOI:
https://doi.org/10.59156/revista.v39i02.721Keywords:
Large aneurysm, Minipterional approach, Sylvian bifurcation, Thrombosed aneurysmAbstract
Background: the minipterional approach is considered a minimally invasive alternative to the classical pterional approach. These approaches focus on the Sylvian fissure.
Objectives: to demonstrate the scope of the minipterional approach for the microsurgical clipping of a partially thrombosed large sylvian bifurcation aneurysm.
Case presentation: a 53-years old male patient presented to our hospital with a history of stroke that occurred 4 years prior to the consultation. A large partially thrombosed sylvian left bifurcation aneurysm was diagnosed.
Surgery: a minipterional approach was performed, with the surgical dissection of the sylvian fissure and subsequent micro-clipping of the aneurysm. Successful aneurysm exclusion was achieved. The patient had no new neurological deficits and was discharged from the hospital on the third postoperative day.
Conclusion: the minipterional approach provided a comfortable and satisfactory access for the resolution of the case.
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References
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