Adéla Bubeníková1,2, Petr Skalický3,4, Vladimír Beneš3. 1. Department of Neurosurgery and Neurooncology, 1st Faculty of Medicine, Charles University in Prague and Military University Hospital, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic. bubenikova.adela.ab@gmail.com. 2. Department of Neurosurgery, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic. bubenikova.adela.ab@gmail.com. 3. Department of Neurosurgery and Neurooncology, 1st Faculty of Medicine, Charles University in Prague and Military University Hospital, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic. 4. Department of Neurosurgery, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
Abstract
BACKGROUND: Clipping of ophthalmic artery (OA) aneurysms present one of the treatment strategies for long-term disease management. Existing surgical techniques primarily require extra/intradural removal of the anterior clinoid process, carrying a higher risk of infection, damage to surrounding structures or technical complications. METHODS: We present the technique of minimally invasive partial medial clinoidectomy with the unroofing of the optic canal for surgical clipping of OA aneurysms, and besides its pros and cons, we also discuss proper technical indications. CONCLUSION: The partial medial clinoidectomy improves manoeuvrability around the paraclinoid region, provides better protection for adjacent structures and renders excellent treatment outcome.
BACKGROUND: Clipping of ophthalmic artery (OA) aneurysms present one of the treatment strategies for long-term disease management. Existing surgical techniques primarily require extra/intradural removal of the anterior clinoid process, carrying a higher risk of infection, damage to surrounding structures or technical complications. METHODS: We present the technique of minimally invasive partial medial clinoidectomy with the unroofing of the optic canal for surgical clipping of OA aneurysms, and besides its pros and cons, we also discuss proper technical indications. CONCLUSION: The partial medial clinoidectomy improves manoeuvrability around the paraclinoid region, provides better protection for adjacent structures and renders excellent treatment outcome.
Authors: Benjamin L Brown; Demetrius Lopes; David A Miller; Rabih G Tawk; Leonardo B C Brasiliense; Andrew Ringer; Eric Sauvageau; Ciarán J Powers; Adam Arthur; Daniel Hoit; Kenneth Snyder; Adnan Siddiqui; Elad Levy; L Nelson Hopkins; Hugo Cuellar; Rafael Rodriguez-Mercado; Erol Veznedaroglu; Mandy Binning; J Mocco; Pedro Aguilar-Salinas; Alan Boulos; Junichi Yamamoto; Ricardo A Hanel Journal: J Neurosurg Date: 2015-10-16 Impact factor: 5.115