Limits...
Contralateral approach to a carotid bifurcation aneurysm in a case of multiple intracranial aneurysms: a case report.

Tabatabai SA, Meybodi AT, Hashemi M, Habibi Z - Cases J (2009)

Bottom Line: A 51 year-old Caucasian right handed housewife lady (weight 61 kg, height 159 cm) presented with a headache of acute onset which proved to be caused by acute subarachnoid hemorrhage.Cerebral computed tomographic angiography revealed multiple aneurysms.The post-operative course was uneventful.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. tayebi_a77@yahoo.com.

ABSTRACT

Background: Traditionally, surgery of the anterior circulation aneurysms of the cerebral vasculature is dictated by the site of the lesion, excluding such midline lesions as anterior communication artery aneurysms. Few reports address the issue of using a single craniotomy to obliterate multiple aneurysms located in both hemispheres.

Case presentation: A 51 year-old Caucasian right handed housewife lady (weight 61 kg, height 159 cm) presented with a headache of acute onset which proved to be caused by acute subarachnoid hemorrhage. Cerebral computed tomographic angiography revealed multiple aneurysms. The patient underwent a right pterional craniotomy to obliterate right middle cerebral, distal basilar and left carotid bifurcation aneurysms. The post-operative course was uneventful.

Conclusion: Despite technical difficulties of approaching cerebral vasculature through a contralateral craniotomy, this policy is advised in selected cases in which the benefits of unilateral craniotomy outweigh the risks of brain retraction.

No MeSH data available.


Related in: MedlinePlus

Postoperative CT angiogram of brain showing successful obliteration of all aneurysms.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2630299&req=5

Figure 3: Postoperative CT angiogram of brain showing successful obliteration of all aneurysms.

Mentions: The patient experienced an uneventful post-operative period and was discharge within 5 days of surgery. A follow-up CT angiography confirmed successful obliteration of all lesions and preservation of normal cerebral vasculature (figure 3).


Contralateral approach to a carotid bifurcation aneurysm in a case of multiple intracranial aneurysms: a case report.

Tabatabai SA, Meybodi AT, Hashemi M, Habibi Z - Cases J (2009)

Postoperative CT angiogram of brain showing successful obliteration of all aneurysms.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2630299&req=5

Figure 3: Postoperative CT angiogram of brain showing successful obliteration of all aneurysms.
Mentions: The patient experienced an uneventful post-operative period and was discharge within 5 days of surgery. A follow-up CT angiography confirmed successful obliteration of all lesions and preservation of normal cerebral vasculature (figure 3).

Bottom Line: A 51 year-old Caucasian right handed housewife lady (weight 61 kg, height 159 cm) presented with a headache of acute onset which proved to be caused by acute subarachnoid hemorrhage.Cerebral computed tomographic angiography revealed multiple aneurysms.The post-operative course was uneventful.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. tayebi_a77@yahoo.com.

ABSTRACT

Background: Traditionally, surgery of the anterior circulation aneurysms of the cerebral vasculature is dictated by the site of the lesion, excluding such midline lesions as anterior communication artery aneurysms. Few reports address the issue of using a single craniotomy to obliterate multiple aneurysms located in both hemispheres.

Case presentation: A 51 year-old Caucasian right handed housewife lady (weight 61 kg, height 159 cm) presented with a headache of acute onset which proved to be caused by acute subarachnoid hemorrhage. Cerebral computed tomographic angiography revealed multiple aneurysms. The patient underwent a right pterional craniotomy to obliterate right middle cerebral, distal basilar and left carotid bifurcation aneurysms. The post-operative course was uneventful.

Conclusion: Despite technical difficulties of approaching cerebral vasculature through a contralateral craniotomy, this policy is advised in selected cases in which the benefits of unilateral craniotomy outweigh the risks of brain retraction.

No MeSH data available.


Related in: MedlinePlus