Transfalcine approach to a callosomarginal artery aneurysm.
We describe a transfalcine approach to clipping and subsequently excising an expanding mycotic callosomarginal aneurysm. The patient had a devastating dominant (left) hemispheric spontaneous intracranial hemorrhage and was neurologically improving at the time of surgery nearly 2 months later. To avoid retracting the left hemisphere, we approached this left callosomarginal aneurysm from the nondominant side through the falx. The approach was straight-forward, and the result was satisfactory.
Ellenbogen
R G
RG
Department of Surgery (Neurosurgery), Brigham and Women's Hospital, Boston, Massachusetts.
Scott
R M
RM
D000328:Adult; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed