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Titolo:
SURGICAL-MANAGEMENT OF MIDDLE CEREBRAL-ARTERY ANEURYSMS - EXPERIENCE WITH TRANSSYLVIAN AND SUPERIOR TEMPORAL GYRUS APPROACHES
Autore:
OGILVY CS; CROWELL RM; HEROS RC;
Indirizzi:
MASSACHUSETTS GEN HOSP,NEUROSURG SERV,FRUIT ST BOSTON MA 02114 UNIV MINNESOTA,DEPT NEUROSURG MINNEAPOLIS MN 55455 HARVARD UNIV,SCH MED BOSTON MA 00000
Titolo Testata:
Surgical neurology
fascicolo: 1, volume: 43, anno: 1995,
pagine: 15 - 22
SICI:
0090-3019(1995)43:1<15:SOMCA->2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Keywords:
MIDDLE CEREBRAL ARTERY ANEURYSM; SUPERIOR TEMPORAL GYRUS APPROACH; SYLVIAN FISSURE APPROACH; INTRACRANIAL ANEURYSM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
C.S. Ogilvy et al., "SURGICAL-MANAGEMENT OF MIDDLE CEREBRAL-ARTERY ANEURYSMS - EXPERIENCE WITH TRANSSYLVIAN AND SUPERIOR TEMPORAL GYRUS APPROACHES", Surgical neurology, 43(1), 1995, pp. 15-22

Abstract

BACKGROUND Middle cerebral artery (MCA) aneurysms are typically approached surgically using one of three basic techniques. The sylvian fissure can be opened in one of two ways; either from medial to lateral orfrom lateral to medial, Alternatively, an incision in the superior temporal gyrus with subpial resection can be used to expose the MCA branches and aneurysm neck. METHODS We reviewed 65 middle cerebral aneurysms in 62 patients operated on over a 5-year interval where a choice ofoperative approach was made based on preoperative evaluation of available radiological studies, RESULTS The superior temporal gyrus was used when intraparenchymal hematoma was present in the temporal lobe or when the length of the middle cerebral artery trunk was long (average length 2.44 +/- 0.41 SE cm), This approach was used in 20 operations on22 aneurysms. The sylvian fissure approach was used in cases where the middle cerebral artery main trunk was short (1.32 +/- 0.41 SE cm) orthe direction of the aneurysm was favorable. This approach was used in 38 operations. In 4 operations (5 aneurysms) we combined the two approaches to remove dot, obtain adequate exposure, and secure control ofthe proximal MCA, CONCLUSIONS In most cases of MCA aneurysms the decision as to which surgical approach to use is made preoperatively depending on the presence of intraparenchymal clot, size of aneurysm, direction of aneurysm, and length of the proximal middle cerebral artery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 08:13:20