A correlation between the authors´s surgical experience clipping brain aneurysms and current endovascular techniques is made.
The authors recommend early repair of aneurysms micro surgically or endo vascularly. Best results in microsurgical treatment are possible in young patients with small anterior circulation aneurysms operated in good clinical grade, without evidence of clinical or radiological vasospasm. The endovascular treatment is recommended in poor grade patients, elderly people, and as a complementary mean in the management of giant and complex aneurysms.
Aneurismas Cerebrales
Algunas Reflexiones sobre la Microcirugía de los Aneurismas Intracraneales.
Manejo Electivo de los Aneurismas de Circulación Anterior Mediante Abordaje Pterional – Basal
During the last three years we employed a pteriono-basal approach to 26 aneurysms of anerior circulation. The approach consist of a pterional craniotomy removed in block with the orbitozygomatic complex, resection of the superolateral orbit and anterior clinoidectomy. Using this approach, multidireccional viewing is possible with minimal brain retraction. We recomend this approachfor most of anterior circulation aneurysm, especialy those situated in the paraclionid area.
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Palabras clave: Aneurismas Cerebrales,
vía pterional basal,
Keywords: Brain aneurysms,
pteriono-basal approach,
