Lateral Supraorbital versus Pterional Approach for Clipping of Unruptured Anterior Circulation Aneurysms

2021 ◽  
Author(s):  
Samuel J. Cler ◽  
Bhuvic Patel ◽  
Peter Sylvester ◽  
Joshua Osbun
Keyword(s):  
Pterional Approach ◽  
Anterior Circulation ◽  
Anterior Circulation Aneurysms

OLFACTORY DYSFUNCTION AFTER IPSILATERAL AND CONTRALATERAL PTERIONAL APPROACHES FOR CEREBRAL ANEURYSMS

Neurosurgery ◽  
2009 ◽  
Vol 65 (4) ◽  
pp. 727-732 ◽  
Author(s):  
Jaechan Park ◽  
Sun-Ho Lee ◽  
Dong-Hun Kang ◽  
Jung-Soo Kim
Keyword(s):  
Aneurysmal Subarachnoid Hemorrhage ◽  
Cerebral Aneurysms ◽  
Olfactory Dysfunction ◽  
Anterior Communicating Artery ◽  
Pterional Approach ◽  
Anterior Circulation ◽  
Related Risk ◽  
Lateral Distance ◽  
Contralateral Pterional Approach ◽  
Anterior Circulation Aneurysms

Abstract OBJECTIVE This study investigated olfactory dysfunction after using a contralateral or ipsilateral pterional approach for anterior circulation aneurysms and related risk factors. METHODS This study included 189 patients who experienced an aneurysmal subarachnoid hemorrhage and in whom a pterional approach was used, including a contralateral pterional approach (12 patients), a pterional approach for an anterior communicating artery (AComA) aneurysm (70 patients), and an ipsilateral pterional approach for aneurysms of the anterior circulation, excluding the AComA (107 patients). In addition to questionnaires on olfactory function, Sniffin' Sticks tests were performed 12 to 38 months after the operation. RESULTS The incidence of olfactory dysfunction was high: 58% (7 of 12) with a contralateral pterional approach, 14% (10 of 70) with a pterional approach for an AComA aneurysm, and 4% (4 of 107) with an ipsilateral pterional approach for aneurysms of the anterior circulation, except for the AComA. In addition, patients 55 years and older had a higher incidence of olfactory dysfunction. Among the 12 patients in whom the contralateral pterional approach was used, 5 (42%) were anosmic and 2 (17%) were hyposmic. The incidence of olfactory dysfunction was also significantly higher at ages 55 years and older. The size and location of the contralateral aneurysm, if small (<1 cm) and located within a 3-cm lateral distance from the midline, were not found to influence the incidence. CONCLUSION A higher incidence of olfactory dysfunction was found in those patients in whom a contralateral pterional approach and a pterional approach for an AComA aneurysm were used. Another major risk factor was an age of 55 years and older.

Comparative Anatomical Analysis between Minipterional and Supraorbital Approaches in the Treatment of Anterior Circulation Aneurysms

2020 ◽  
Author(s):  
Rafael Martinez-Perez ◽  
Thiago Albonette-Felicio ◽  
Giuliano Silveira-Bertazzo ◽  
Luis Requena ◽  
Ruichun Li ◽  
...  
Keyword(s):  
Anterior Circulation ◽  
Anatomical Analysis ◽  
Anterior Circulation Aneurysms

Risk factors for meningitis after craniotomy in patients with subarachnoid hemorrhage due to anterior circulation aneurysms rupture

2015 ◽  
Vol 139 ◽  
pp. 302-306 ◽  
Author(s):  
Takashi Inoue ◽  
Hiroaki Shimizu ◽  
Miki Fujimura ◽  
Kenichi Sato ◽  
Hidenori Endo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Subarachnoid Hemorrhage ◽  
Anterior Circulation ◽  
Anterior Circulation Aneurysms

Surgical experience of minipterional craniotomy with 102 ruptured and unruptured anterior circulation aneurysms

2016 ◽  
Vol 27 ◽  
pp. 34-39 ◽  
Author(s):  
Eberval Gadelha Figueiredo ◽  
Leonardo C. Welling ◽  
Mark C. Preul ◽  
Gabriel Reis Sakaya ◽  
Iuri Neville ◽  
...  
Keyword(s):  
Surgical Experience ◽  
Anterior Circulation ◽  
Anterior Circulation Aneurysms

Efficacy of a direct puncture approach for anterior circulation aneurysms using a newly developed guiding catheter—especially for geriatric patients

2007 ◽  
Vol 67 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Izumi Yuzawa ◽  
Akira Kurata ◽  
Sachio Suzuki ◽  
Hitoshi Ozawa ◽  
Hiroyuki Hagiwara ◽  
...  
Keyword(s):  
Geriatric Patients ◽  
Anterior Circulation ◽  
Direct Puncture ◽  
Anterior Circulation Aneurysms ◽  
Guiding Catheter

Transblepharo-Preseptal Modified Orbitozygomatic Approach for the Treatment of Ruptured Proximal Anterior Circulation Aneurysms

2018 ◽  
Vol 118 ◽  
pp. e335-e345 ◽  
Author(s):  
Robert C. Rennert ◽  
Ben A. Strickland ◽  
Kristine Ravina ◽  
Joshua Bakhsheshian ◽  
Joseph Carey ◽  
...  
Keyword(s):  
Anterior Circulation ◽  
Orbitozygomatic Approach ◽  
Anterior Circulation Aneurysms

scholarly journals Surgical treatment of intracranial aneurysms: six-year experience in Belo Horizonte, MG, Brazil

2004 ◽  
Vol 62 (2a) ◽  
pp. 245-249 ◽  
Author(s):  
Leodante Batista da Costa Jr ◽  
Josaphat Vilela de Morais ◽  
Agustinho de Andrade ◽  
Marcelo Duarte Vilela ◽  
Renato P. Campolina Pontes ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Surgical Treatment ◽  
Intracranial Aneurysms ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
The United States ◽  
Anterior Circulation ◽  
Common Location ◽  
Belo Horizonte ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Anterior Circulation Aneurysms

Spontaneous subarachnoid hemorrhage accounts for 5 to 10 % of all strokes, with a worldwide incidence of 10.5 / 100000 person/year, varying in individual reports from 1.1 to 96 /100000 person/year. Angiographic and autopsy studies suggest that between 0.5% and 5% of the population have intracranial aneurysms. Approximately 30000 people suffer aneurysmal subarachnoid hemorrhage in the United States each year, and 60% die or are left permanently disabled. We report our experience in the surgical treatment of intracranial aneurysms in a six year period, in Belo Horizonte, Minas Gerais, Brazil. We reviewed the hospital files, surgical and out-patient notes of all patients operated on for the treatment of intracranial aneurysms from January 1997 to January 2003. Four hundred and seventy-seven patients were submitted to 525 craniotomies for treatment of 630 intracranial aneurysms. The majority of patients were female (72.1%) in the fourth or fifth decade of life. Anterior circulation aneurysms were more common (94.4%). The most common location for the aneurysm was the middle cerebral artery bifurcation. The patients were followed by a period from 1 month to 5 years. The outcome was measured by the Glasgow Outcome Scale (GOS). At discharge, 62.1% of the patients were classified as GOS 5, 13.9% as GOS 4, 8.7% as GOS 3, 1.7% as GOS 2 and 14.8% as GOS 1.

scholarly journals Risk of Rupture of Small Anterior Circulation Aneurysms: An Institutional Experience

2015 ◽  
Vol 04 (03) ◽  
pp. 132-135 ◽  
Author(s):  
Ashwani Chaudhary ◽  
Rajdeep Chhina ◽  
Apinderpreet Singh ◽  
Sandeep Kundra ◽  
Kavita Saggar ◽  
...  
Keyword(s):  
Anterior Circulation ◽  
Risk Of Rupture ◽  
Institutional Experience ◽  
Anterior Circulation Aneurysms

scholarly journals Modified Supraorbital Keyhole Approach to Anterior Circulation Aneurysms

2016 ◽  
Vol 18 (1) ◽  
pp. 5 ◽  
Author(s):  
Yuhee Kim ◽  
Chan-Jong Yoo ◽  
Cheol Wan Park ◽  
Myeong Jin Kim ◽  
Dae Han Choi ◽  
...  
Keyword(s):  
Anterior Circulation ◽  
Keyhole Approach ◽  
Anterior Circulation Aneurysms

Surgical outcome of primary clipping for anterior circulation aneurysms of size 2 centimeters or larger

2014 ◽  
Vol 122 ◽  
pp. 42-49
Author(s):  
Sunil V. Furtado ◽  
Narayanam A. Saikiran ◽  
Sumit Thakar ◽  
Ravi Dadlani ◽  
Dilip Mohan ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Anterior Circulation ◽  
Anterior Circulation Aneurysms
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