The minipterional craniotomy for anterior circulation aneurysms: initial experience with 72 patients.

摘要: Background The pterional craniotomy is well established for microsurgical clipping of most anterior circulation aneurysms. incision and temporalis muscle dissection impacts postoperative recovery cosmetic outcomes. minipterional (MPT) offers similar corridors, with a substantially shorter incision, less dissection, smaller flap. Objective To report our experience the MPT in select unruptured Methods From January 2009 to July 2013, 82 aneurysms were treated 72 patients, 74 craniotomies. Seven patients had multiple single craniotomy. average patient age was 56 years (range: 24-87). Aneurysms located along middle cerebral artery (n = 36), posterior communicating 22), paraophthalmic choroidal 1), dorsal ICA segments 1). utilized an just hairline myocutaneous Results aneurysm size 5.45 mm 1-14). There no instances compromised operative corridors requiring extension. Three significant early complications included epidural subdural hematomas evacuation, infarction. Average length hospitalization 3.96 days 2-20). Two required reoperation wound infections. follow-up 421 5-1618). Minimal wasting noted 96% patients. Conclusion worthwhile alternative standard suboptimal clip applications when treatment supraclinoid internal carotid proximal terminal bifurcation.