How I do it: lateral supra-cerebellar infra-tentorial approach for P2-P3 junction cerebral aneurysms.
biomechanical · Level V
Where this comes from
- Record sourced from PubMed, PMID 32918194.
- Also identified by DOI 10.1007/s00701-020-04566-5.
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Abstract
P2-P3 junction aneurysms are challenging to treat surgically because of their frequent complex morphology and their location deep in close proximity to the midbrain. The sub-temporal route requires significant retraction of the temporal lobe in addition to potential injury to the vein of Labbe. We describe the technique for treating such aneurysms via a lateral supra-cerebellar infra-tentorial (LSCIT) approach, which eliminates manipulation of the temporal lobe. Cadaveric dissection provided comprehensive understanding of relevant anatomy. Intraoperative video shows clipping of the aneurysm using a LSCIT approach. LSCIT approach allows safe clipping of P2-P3 aneurysms with minimal brain manipulation.
Medical subject headings
- Cerebellum
- Intracranial Aneurysm
- Temporal Lobe