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Updated: Jul 29, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Traumatic intracranial aneurysms complicating anterior skull base surgery
A Grigorian1, V Rajaraman, C D Hunt
1Division of Neurosurgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, DOC #7300, 90 Bergen Street, Newark, NJ 07103, USA.
Iatrogenic cerebral aneurysms are rare complications following anterior skull base surgery. This study details the successful management of three such cases, highlighting prevention strategies.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Skull Base Surgery
Background:
- Traumatic cerebral aneurysms are uncommon after head injuries.
- Aneurysm development post-anterior skull base surgery is exceptionally rare.
- Most reported cases follow transsphenoidal surgery.
Observation:
- This article presents three cases of anterior circulation aneurysms.
- These aneurysms developed after uncomplicated rhinological procedures.
- The cases highlight vessel vulnerability and skull base penetration sites.
Findings:
- Successful neurosurgical management was achieved in all three cases.
- The study outlines clinical procedures, radiological follow-up, and surgical interventions.
- Causes of iatrogenic injury are discussed.
Implications:
- These findings underscore the risks associated with anterior skull base procedures.
- Understanding injury mechanisms can inform preventative strategies.
- Improved surgical techniques may reduce the incidence of these rare but serious complications.
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