Direct surgical treatment of intracavernous internal carotid artery aneurysms: report of four cases.
The authors have operated directly on four cases of intracavernous internal carotid artery aneurysms by opening the cavernous sinus. Surgery was performed using a semisitting position, in which the upper half of the patient's body was elevated approximately 20 degrees from the horizontal plane. The superior wall of the cavernous sinus was opened through the pterional approach, and an aneurysmal neck clipping was successfully performed on three patients. A coating of the aneurysm was carried out on one patient. The results obtained were excellent in all cases. The authors believe that the operative technique reported is useful for surgical treatment of intracavernous lesions.
D000328:Adult; D000783:Aneurysm / Q000473:pathology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal; D002426:Cavernous Sinus; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology