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| Name | Contralateral approach for clipping of bilateral anterior circulation aneurysms |
| Video Uploader | Video From American Association of Neurological Surgeons |
| Upload Date | This Video Uploaded At 18-04-2019 15:31:28 |
| Video Discription | Justin M. Caplan, M.D., Eric Sankey, B.S., David Gullotti, B.S., Joanna Wang, B.A., Wuyang Yang, M.D., Erick Westbroek, M.D., Brian Hwang, M.D., and Judy Huang, M.D. Johns Hopkins University School of Medicine, Departments of Neurosurgery, Baltimore, Maryland Patients with bilateral anterior circulation aneurysms present a management challenge. These lesions may be treated in a staged manner or alternatively, for select patients, a contralateral approach may be utilized to treat bilateral aneurysms with a single surgery. In this narrated video illustration, we present the case of a 57-year-old woman with incidentally discovered bilateral aneurysms (left middle cerebral artery (MCA), left anterior choroidal artery and right MCA). A contralateral approach through a left pterional craniotomy was performed for microsurgical clipping of all three aneurysms. The techniques of pterional craniotomy, contralateral approach, microsurgical clipping and intraoperative angiography are reviewed. The authors are grateful to Wuyang Yang, M.D. for his assistance. |
| Category | Education |
| Tags | Aneurysm (Disease Or Medical Condition) | microsurgery | clipping | anterior choroidal artery | lamina terminalis | JNS | AANS | Neurosurgical Focus | Journal of Neurosurgery |
