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Micropterional craniotomy for internal carotid artery aneurysm.


 Mariano, Manuel,
 Pauig, James Angelo

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Publication Information

Publication Type
The Philippine Journal of Neurology
2002 Dec
Publication Date


The standard surgical approach in internal carotid artery aneurysm has been the pterional approach where a long frontotemporal incision just behind the hairline is done and the temporal muscle is retracted and freebone flap is developed. The growth of minimally invasive neurosurgery has given rise to new ideas in approaching long time neurosurgical problems. This paper aims to find out the feasibility of a new technique in clipping internal carotid artery aneurysms. Nine patients were operated with the micropterional craniotomy technique using a 5 cm. incision and a 2.0x1.5 cm, craniectomy. All aneurysms were clipped and there was no mortality. One patient developed subdural effusion and underwent drainage of the subdural effusion, then was sent home improved. The micropterional approach provides a safe and alternative approach to clipping internal carotid artery aneurysms. (Author)

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Philippine Council for Health Research and Development Library Abstract Print Format

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