Cortical thermal clearance monitoring in surgery for a giant middle cerebral artery aneurysm.
Cortical thermal clearance was used during surgery for clipping of a giant middle cerebral artery (MCA) aneurysm. During prolonged continuous proximal MCA occlusion thermal clearance remained normal, indicating sufficient collateral blood supply. Postoperatively the patient had no neurological deficit. This monitoring technique is a useful guide to the safety of temporary clipping during aneurysm surgery.
Choksey
M S
MS
Regional Neurosciences Centre, Newcastle General Hospital, Newcastle upon Tyne, UK.
Chambers
I R
IR
Jenkins
A
A
Mendelow
A D
AD
Sengupta
R P
RP
D002536:Cerebral Arteries; D002540:Cerebral Cortex / Q000098:blood supply*; D003250:Constriction; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D012039:Regional Blood Flow; D013814:Thermal Conductivity