title: Surgically Clipping a Posterolaterally Projecting Posterior Communicating Artery Aneurysm With Anterior Petroclinoid Fold Fenestration.
abstract: The anterior petroclinoid fold (APF) is a ligamentous structure consisting of collagen fiber and extends from the petrous apex to the anterior clinoid process. During the surgical clipping of some posterolaterally projecting posterior communicating artery aneurysms, it may pose a technical challenge due to obscuration of the aneurismal neck by the APF. Herein, the authors describe a simple and effective technique utilizing fenestration of the APF to facilitate visualization and surgical clipping of these aneurysms. To the best knowledge of us, this technique of the APF fenestration has been reported in only a few patients.
authors.affiliation: *Department of Neurosurgery, Yidu Central Hospital of Weifang, Qingzhou †Department of Neurosurgery, Jiangxi Provincial People's Hospital, Nanchang, China.
authors.forename: Shishun
authors.initials: S
authors.lastname: Ji
authors.forename: Xiaodong
authors.initials: X
authors.lastname: Shi
authors.forename: Xiaoshuai
authors.initials: X
authors.lastname: Chu
authors.forename: Xunhui
authors.initials: X
authors.lastname: Yuan
authors.forename: Gaoling
authors.initials: G
authors.lastname: Sun
authors.forename: Yun'an
authors.initials: Y
authors.lastname: Bai
authors.forename: Aijun
authors.initials: A
authors.lastname: Liang
mesh_terms: D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D013100:Sphenoid Bone / Q000601:surgery*; D013525:Surgical Instruments