The Keyhole Concept For The Management Of Ruptured And Unruptured Aneurysms | 105293
Journal of Neurology & Neurophysiology
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For the treatment of aneurysms, clipping still offers higher occlusion rates and its technique continues to
evolve, resulting in smaller exposures and reduced manipulation to brain tissue. We report our experience
with minipterional craniotomy for anterior circulation aneurysms, exploring our routine use of this approach
for managing both ruptured and unruptured aneurysms in a high-volume institution in Brazil. This presentation
includes videos of different treated cases.
1. Figueiredo et al. (2016) Surgical experience of minipterional craniotomy with 102 ruptured and unruptured
anterior circulation aneurysms. Journal of Clinical Neuroscience 27:34-9.
2. Tra et al. (2017) Minipterional and supraorbital keyhole craniotomies for ruptured anterior circulation
aneurysms: experience at single center. World Neurosurgery doi: 10.1016/j.wneu.2017.09.058.
3. Cavalcanti et al. (2017) Engaging in a keyhole concept for the management of ruptured and unruptured
aneurysms. World Neurosurgery 102:466-476.
4. Alkhalili et al. (2017) The minipterional approach for ruptured and unruptured anterior circulation aneurysms:
Our initial experience. Asian Journal of Neurosurgery doi: 10.4103/1793-5482.180951.
5. Caplan et al. (2014) The minipterional craniotomy for anterior circulation aneurysms: initial experience with
72 patients. Neurosurgery 10(2):200???207.
Pedro Góes is a young Neurosurgeon graduated from the Federal University of São Paulo, currently acting as a Member of the Vascular Neurosurgery group of the Paulo Niemeyer State Brain Institute in Rio de Janeiro. In addition to aneurysms, he is interested in arteriovenous malformations, cavernomas and tumors of the central nervous system, with a recent publication on the role of necrosis in intracranial meningiomas.