Assessment of the Endoscopic Endonasal Transclival Approach for Surgical Clipping of Anterior Pontine AICA Aneurysms

Highlights • Surgical exposure of the lesions of the anterior region of the brainstem is problematic due to the proximity of neurovascular structures and deep location. • Subtemporal anterior petrosectomy and presigmoid craniotomy are usually used to gain surgical access to the anterior pontine regi...

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Veröffentlicht in:World neurosurgery 2015
Hauptverfasser: Sanmillan, Jose L., M.D, Lawton, Michael T., M.D, Rincon-Torroella, Jordina, M.D, El-Sayed, Ivan H., M.D, Zhang, Xin, M.D., Ph.D, Meybodi, Ali Tayebi, M.D, Gabarros, Andreu, M.D., Ph.D, Benet, Arnau, M.D
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container_title World neurosurgery
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creator Sanmillan, Jose L., M.D
Lawton, Michael T., M.D
Rincon-Torroella, Jordina, M.D
El-Sayed, Ivan H., M.D
Zhang, Xin, M.D., Ph.D
Meybodi, Ali Tayebi, M.D
Gabarros, Andreu, M.D., Ph.D
Benet, Arnau, M.D
description Highlights • Surgical exposure of the lesions of the anterior region of the brainstem is problematic due to the proximity of neurovascular structures and deep location. • Subtemporal anterior petrosectomy and presigmoid craniotomy are usually used to gain surgical access to the anterior pontine region. • Exposure of the aneurysms of the proximal AICA is suboptimal with current surgical techniques. • Endoscopic endonasal approaches are evolving as a surgical possibility for treatment of selected aneurysms. • In the current anatomical study, endoscopic endonasal transclival approach was found to be a viable option for treatment of the lesions of the proximal AICA.
doi_str_mv 10.1016/j.wneu.2016.01.081
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title Assessment of the Endoscopic Endonasal Transclival Approach for Surgical Clipping of Anterior Pontine AICA Aneurysms
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