Two Indices Affecting the Directions of the Sylvian Fissure Dissection in Middle Cerebral Artery Bifurcation Aneurysms
نویسندگان
چکیده
منابع مشابه
Two Indices Affecting the Directions of the Sylvian Fissure Dissection in Middle Cerebral Artery Bifurcation Aneurysms
OBJECTIVE This study proposes more objective methods for deciding the appropriate direction of the sylvian fissure dissection during surgical clipping in middle cerebral artery (MCA) bifurcation aneurysms. METHODS We reviewed data of 36 consecutive patients with MCA bifurcation aneurysms. We measured 2 indices preoperatively on 3-dimensional computed tomography angiography (3D-CTA). Analysis ...
متن کاملThe transsylvian approach to middle cerebral artery bifurcation/trifurcation aneurysms.
A transsylvian approach to treat aneurysms located at the bifurcation/trifurcation of the middle cerebral artery (MCA) is described. This surgical route traces a distal MCA branch retrogradely into the Sylvian fissure whereupon a secondary MCA branch and the main stem of the MCA (M1) are identified before aneurysm clipping. The advantages, and disadvantages of this approach are discussed. The t...
متن کاملA New Classification Of Unruptured Middle Cerebral Artery Bifurcation Aneurysms
MCA aneurysms comprise 20% to 25% of intracranial aneurysms.Majority of middle cerebral artery aneurysms are treated with microsurgical clipping. Most of the classifications are based on size, location or pathology which are effective for description but are less useful in preoperative planning and also in deciding the technique or type of clip application. The aim of our study was to study the...
متن کاملSuperficial Sylvian veins as landmarks for operation of middle cerebral artery aneurysms.
A retrograde approach to aneurysms located at the middle cerebral artery bifurcation which uses the superficial Sylvian veins as landmarks is described. Fifty patients with 51 aneurysms were operated on using this technique. This method made it easier for surgeons to decide where to enter the Sylvian fissure for dissection of the middle cerebral artery branches and to secure the parent artery.
متن کاملUse of Three-Dimensional Curved-Multiplanar Reconstruction Images for Sylvian Dissection in Microsurgery of Middle Cerebral Artery Aneurysms
PURPOSE The purpose of this study was to introduce a method of using three-dimensional (3D) curved-multiplanar reconstruction (MPR) images for sylvian dissection during microsurgical treatment of middle cerebral artery (MCA) aneurysms. MATERIALS AND METHODS Forty-nine patients who had undergone surgery for MCA aneurysms were enrolled. We obtained the 3D curved-MPR images along the sphenoid ri...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Cerebrovascular and Endovascular Neurosurgery
سال: 2013
ISSN: 2234-8565,2287-3139
DOI: 10.7461/jcen.2013.15.3.164