Low anterior interhemispheric approach--a narrow corridor to aneurysms of the anterior communicating artery.

Abstract:

BACKGROUND:Many approaches for clipping anterior communicating artery (ACoA) aneurysms are reported in the literature. We describe here a new approach called "low anterior interhemispheric approach" for clipping of ACoA aneurysms. MATERIALS AND METHODS:A low anterior interhemispheric approach utilizing a unilateral frontal craniotomy flap with minimal unilateral frontal lobe retraction was used in treating four patients harboring an unruptured ACoA aneurysm. The approach axis is directed to the ACoA area itself with minimal exposure to the anterior cerebral vessels. FINDINGS:In all patients, complete neck clipping was possible with minimal brain retraction, without vascular damage and preserved olfaction. INTERPRETATION:This approach is preferred on anatomical grounds for cases of unruptured small and medium sized ACoA aneurysms projecting anteriorly or posteriorly because the anterior communicating artery complex area can be fully visualized with minimal manipulation of the frontal lobes and anterior cerebral arteries.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

El-Noamany H,Nakagawa F,Hongo K,Kakizawa Y,Kobayashi S

doi

10.1007/s007010170018

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

885-91

issue

9

eissn

0001-6268

issn

0942-0940

journal_volume

143

pub_type

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