Paraclinoid aneurysms clipping through an extradural sphenoid ridge keyhole approach.

Nathal, Edgar; Serrano-Rubio, Alejandro; Benavides-Burbano, Camilo Armando; Rodríguez-Rubio, Héctor A · Acta Neurochir (Wien) · 2023

case_report · Level V

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Abstract

Paraclinoid aneurysms represent a challenge for neurosurgeons due to the anatomical complexity of this region. Then, innovative techniques such as the extradural sphenoid ridge approach are suitable for a safe microsurgical clipping. A description of the surgical technique was made by the senior author, a vascular neurosurgeon experienced with the use of this approach in the management of paraclinoid aneurysms exemplified through a clinical case. Microsurgical clipping through an extradural sphenoid ridge keyhole approach for small and midsize paraclinoid aneurysms is an excellent treatment modality with good clinical and surgical results.

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