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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

Endoscopic clipping of an anterior communicating artery aneurysm

Sanjeev Kumar¹, Debabrata Sahana², Ghanshyam Sasapardhi²

¹Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, 492001, India. ksanjeev79@gmail.com.

Acta Neurochirurgica

|March 20, 2023

Abstract

Background:

Anterior communicating artery aneurysms are most prone to rupture. Surgically, they are conventionally being managed by a pterional approach. Some neurosurgeons prefer a supraorbital keyhole approach in select cases. Fully endoscopic clipping of such aneurysms is seldom described.

Method:

We clipped an antero-inferiorly directed anterior communicating artery aneurysm endoscopically via a supraorbital keyhole approach. The intraoperative aneurysmal rupture was also managed endoscopically. The patient made an excellent postoperative recovery without any neurological deficits.

Conclusion:

Select cases of anterior communicating artery aneurysms can be clipped endoscopically using standard instruments and adhering to the basic principles of aneurysm clipping.

Keywords:

ACOM Aneurysm Cerebral aneurysm Clipping Endoscopy

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