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Skull base techniques for multiple aneurysms in the internal carotid juxta-dural ring region
K Hongo1, Y Tanaka, H Nagashima
1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan. khongo@hsp.md.shinshu-u.ac.jp
Summary
Treating internal carotid aneurysms near the skull base is challenging. This study details a successful surgical approach combining skull base techniques and endovascular coiling for complex cases.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Interventional Radiology
Background:
- Internal carotid artery aneurysms in the juxta-dural ring region pose significant surgical challenges due to their location.
- Obliterating these aneurysms often requires specialized skull base approaches.
Observation:
- Aneurysms projecting laterally towards or into the anterior clinoid process necessitate meticulous surgical drilling.
- The anterior clinoid process requires careful bone removal for adequate surgical access.
Findings:
- This paper presents a case study detailing the successful treatment of a challenging internal carotid artery aneurysm.
- The described treatment involved a combination of advanced skull base surgical techniques and intravascular coil embolisation.
Implications:
- This combined approach offers a viable solution for complex intracranial aneurysms previously considered difficult to treat.
- The findings highlight the efficacy of integrating microsurgical and endovascular strategies in neurovascular surgery.