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Single-stage operation for bilateral middle cerebral artery aneurysms
1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Acta Neurochirurgica
|November 27, 2004
Summary
This study details a single-stage surgical approach for bilateral middle cerebral artery aneurysms (BMCA). The bilateral subfrontal technique offers advantages over traditional methods, leading to reduced hospital stays and improved cosmetic outcomes.
Area of Science:
- Neurosurgery
- Vascular Neurosurgery
- Cerebrovascular Surgery
Background:
- Bilateral middle cerebral artery aneurysms (BMCA) present unique neurosurgical challenges.
- Traditional surgical approaches may involve significant manipulation and complications.
Purpose of the Study:
- To evaluate the efficacy and outcomes of a single-stage bilateral subfrontal approach for treating BMCA.
- To compare this approach with conventional methods for MCA aneurysms.
Main Methods:
- Three cases of BMCA were treated using a single-stage bilateral subfrontal approach.
- The procedure involved a single head positioning and draping, with slight table tilting.
- Aneurysm clipping was performed efficiently within the described methodology.
Main Results:
- The incidence of BMCA was 1.18% (3/255) in the study period.
- The mean operative time for BMCA was 5.8 hours, decreasing with experience.
- All patients experienced successful recovery and discharge, with no major complications.
Conclusions:
- The bilateral subfrontal approach offers significant advantages for BMCA treatment.
- This method avoids extensive frontal lobe manipulation and facial incisions, reducing ICU and hospital stays.
- The approach minimizes complications and enhances postoperative cosmetic results.