title: Microsurgical technique of symptomatic intracavernous aneurysm.
abstract: Symptomatic intracavernous aneurysm is rare. Cranial nerves in the cavernous sinus are subjected to the mass effect of an expanding aneurysm. Microsurgical clipping is the treatment of choice to relieve compressive cranial neuropathy. In this video, the authors present a case of intracavernous aneurysm causing diplopia, ptosis, and facial numbness. The patient was operated on via a pretemporal transclinoid-transcavernous approach. The aneurysm was completely obliterated through direct clipping. There were no new-onset neurologic deficits and complications after the operation. Complete recovery of the diplopia, ptosis, and facial numbness was observed at the 6-month postoperative follow up. The video can be found here: http://youtu.be/4w5QUoNIAQM.
authors.affiliation: Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and.
authors.forename: Chih-Hsiang
authors.initials: CH
authors.lastname: Liao
authors.affiliation: Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and.|National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China.
authors.forename: Chun-Fu
authors.initials: CF
authors.lastname: Lin
authors.affiliation: Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and.|National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China.
authors.forename: Sanford P C
authors.initials: SP
authors.lastname: Hsu
authors.affiliation: Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and.|National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China.
authors.forename: Min-Hsiung
authors.initials: MH
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and.|National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China.
authors.forename: Yang-Hsin
authors.initials: YH
authors.lastname: Shih
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D002426:Cavernous Sinus; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D019635:Neurosurgical Procedures; D016896:Treatment Outcome
keywords: clipping; cranial neuropathy; intracavernous aneurysm; pretemporal transclinoid-transcavernous approach; video