Anosmia after anterior communicating artery aneurysm surgery: comparison between the anterior interhemispheric and basal interhemispheric approaches.

Abstract:

:The olfactory function could be examined in 101 of 138 patients with anterior communicating artery aneurysms, whom we treated during a recent 6-year period. Among them, 49 patients underwent surgery by the anterior interhemispheric approach and 52 underwent surgery by the basal interhemispheric approach. Fifteen patients (31%) exhibited anosmia after surgery by the anterior interhemispheric approach, whereas only one patient (1.9%) exhibited anosmia after surgery by the basal interhemispheric approach. Unilateral dural incision and unilateral brain retraction without elevation of the frontal lobe from the frontal base are important, because frontal lobe depression and elevation during surgery may injure the olfactory nerve.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Fujiwara H,Yasui N,Nathal-Vera E,Suzuki A

doi

10.1097/00006123-199602000-00017

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

325-8

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

38

pub_type

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