Supraorbital eyebrow minicraniotomy for anterior circulation aneurysms.

摘要: Abstract Background We report our experience with the minimally invasive supraorbital approach to aneurysms of ipsilateral anterior cerebral circulation. Methods A prospective review all patients who underwent operations clip in Newcastle between 1993 and 2002. Results Fifty-six were clipped via minicraniotomy 47 patients. Six presented acute subarachnoid hemorrhage (SAH), 40 admitted for elective clipping, 1 patient an SAH, had responsible aneurysm was readmitted later clipping a further aneurysm. Bilateral craniotomies performed 3 In 6 patients, multiple single craniotomy. All well visualized microscope. Endoscopic assistance not found necessary. successfully clipped. Two ruptured while being There no direct mortality from surgery. One died separate posterior circulation significant long-term deficit but remained independent, seizures over 12 months after This represents 4% morbidity at year. Conclusion Selected can be low morbidity, using preserving orbital rim, without endoscope. The types selection criteria operative equipment used are described.