Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision.

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Abstract Text:

K Mori,H Osada,T Yamamoto,Y Nakao,M Maeda,K Mori,H Osada,T Yamamoto,Y Nakao,M Maeda,

OBJECT: The supraorbital keyhole approach via an eyebrow skin incision provides a method for the minimally invasive clipping of aneurysms located in the circle of Willis, but has disadvantages for aneurysms located in the lateral Sylvian fissure. The pterional keyhole minicraniotomy via an outer canthal skin incision is proposed for the clipping of unruptured aneurysms of the middle cerebral artery (MCA). METHODS: The procedure consists of a 35-mm outer canthal skin incision, partial temporal muscle dissection restricted in the pterion, a 20-25-mm keyhole minicraniotomy, and a 15-20-mm dural incision to expose the lateral Sylvian fissure. Twenty keyhole clipping procedures were performed in 20 patients with unruptured MCA aneurysms. RESULTS: Only one patient showed a temporary mild hemiparesis (reversible ischemic neurological deficit) due to lacunar infarction. No shaving of scalp hair, drain placement, or anticonvulsant drug administration were required. Most patients were discharged on the 2nd or 3rd postoperative day. One patient showed a weakness of the frontalis muscle, but this complication was eliminated by the definition of a safety zone to avoid damage to the frontal branch of the facial nerve. CONCLUSIONS: The pterional keyhole approach via outer an canthal skin incision is another treatment option for relatively small, unruptured MCA aneurysms.

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Publishing Authors By Initials

K Mori,H Osada,T Yamamoto,Y Nakao,M Maeda,K Mori,H Osada,T Yamamoto,Y Nakao,M Maeda,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Minimally invasive neurosurgery : MIN

VOLUME: 50

Page Numbers: 195-201

Journal Abbreviation:

ISSN: 0946-7211

DAY: 19

MONTH: Aug

YEAR: 2007

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9440973

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision.

AFFILIATION: Department of Neurosurgery, Juntendo University Shizuoka Hospital, Shizuoka, Japan. kmori@med-juntendo.jp

Country: Germany

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Minim Invasive Neurosurg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision Related Publications

• An Indoor Guidance System for the Blind using Fluorescent Lights - Relationship between Receiving Signal and Walking Speed.
• Apolipoprotein E4 in macrophages enhances atherogenesis in a low density lipoprotein receptor-dependent manner.
• CTRP3/cartducin promotes proliferation and migration of endothelial cells.
• Characteristics of left and right scanning in schizophrenia patients using exploratory eye movements: comparison with healthy subjects.
• Dissecting aneurysms limited to the basilar artery: Report of two cases and review of the literature.
• Essential compounds in herbivore-induced plant volatiles that attract the predatory mite Neoseiulus womersleyi.
• Evaluation of colors in green mutants isolated from purple bacteria as a host for colorimetric whole-cell biosensors.
• Existing condition and migration property of ions in lithium electrolytes with ionic liquid solvent.
• Follistatin restricts bone morphogenetic protein (BMP)-2 action on the differentiation of osteoblasts in fetal rat mandibular cells.
• Global reaction route mapping on potential energy surfaces of formaldehyde, formic acid, and their metal-substituted analogues.
• Impact of glycerol gateway molecule in adipocytes.
• Increase in clusterin-containing follicles in the adenohypophysis of drug abusers.
• Introduction to the 2nd ESPEN-AJINOMOTO research seminar.
• Metascardovia criceti Gen. Nov., Sp. Nov., from hamster dental plaque.
• Molecular determination by electron microscopy of the Dynein-microtubule complex structure.
• Moment combined partial least squares (MC-PLS) as an improved quantitative calibration method: application to the analyses of petroleum and petrochemical products.
• Polymorphisms in the 3' UTR in the neurocalcin delta gene affect mRNA stability, and confer susceptibility to diabetic nephropathy.
• Postmortem serum catecholamine levels in relation to the cause of death.
• Pterional keyhole approach to middle cerebral artery aneurysms through an outer canthal skin incision.
• Push/pull hemodiafiltration.
• Quantitative effects of common genetic variations in the 3'UTR of the human LDL-receptor gene and their associations with plasma lipid levels in the Atherosclerosis Risk in Communities study.
• The clinical significance of impaction at the femoral neck fracture site in the elderly.
• The expression and production of vascular endothelial growth factor in oral mucosa equivalents.
• The status of the embryo in Buddhism: opinions on scientific and religious controversies about the beginning of human life.
• The usefulness of body image tests in the prevention of eating disorders.
• Thermoforming process for fabricating oral appliances: influence of heating and pressure application timing on formability.
• Threat to cefixime treatment for gonorrhea.
• Use of helper oligonucleotides in affinity capillary electrophoresis on a microchip for detection of single-nucleotide polymorphisms.
• Water structural changes in the L and M photocycle intermediates of bacteriorhodopsin as revealed by time-resolved step-scan Fourier transform infrared (FTIR) spectroscopy.
• Wavefront sensing and the dynamics of tear film.