Microsurgical clipping of ruptured supraclinoid internal carotid artery aneurysm with extradural clinoidectomy

Supraclinoid Internal Carotid Artery (ICA) aneurysms require additional access to standard pterional craniotomy via extradural clinoidectomy. Existing texts and surgical videos lack clarity, explanation and a clear step by step process. We present a case of a ruptured supraclinoid ICA aneurysm and e...

Full description

Saved in:
Bibliographic Details
Published inJournal of clinical neuroscience Vol. 118; pp. 44 - 45
Main Authors Kam, Jeremy, Rebchuk, Alexander, Tan, Darius, Huang, Helen, Kim, Boaz, Castle-Kirszbaum, Mendel, Sher, Idrees, Lai, Leon
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.12.2023
Subjects
Aneurysm
Microsurgery
Subarachnoid haemorrhage
Microsurgery
Subarachnoid haemorrhage
Aneurysm
Online AccessGet full text

Cover

More Information
Summary:Supraclinoid Internal Carotid Artery (ICA) aneurysms require additional access to standard pterional craniotomy via extradural clinoidectomy. Existing texts and surgical videos lack clarity, explanation and a clear step by step process. We present a case of a ruptured supraclinoid ICA aneurysm and extradural clinoidectomy along with 3D reconstructed imaging of the case anatomy to guide its resection. Real-time unedited on table rerupture provides an example of management. Extradural Anterior Clinoidectomy is a key maneuver in cerebrovascular surgical armamentarium for clipping of supraclinoid aneurysms. Stereotypical Pathological or Surgical Anatomy, its application, and availability with 3D imaging should be facilitates the framing and learning of normal physiological anatomy.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2023.09.020