How I do it - focused Sylvian approach for clipping of middle cerebral artery aneurysms.
Where this comes from
- Record sourced from PubMed, PMID 39789366.
- Also identified by DOI 10.1007/s00701-025-06423-9 and PMC identifier 11717822.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
The Focused Sylvian Approach (FSA) is a refined, minimally invasive technique for clipping small to medium-sized middle cerebral artery (MCA) aneurysms, prioritizing safety and aesthetics. The craniotomy remains confined to the superior temporal line, with the incision concealed within the temporal muscle. The Sylvian fissure is carefully dissected to preserve venous structures. FSA achieves optimal vascular control with superior cosmetic outcomes while maintaining adequate exposure for safe aneurysm clipping.
Medical subject headings
- Intracranial Aneurysm
- Craniotomy
- Neurosurgical Procedures
- Middle Cerebral Artery