title: Fully Endoscope-Controlled Clipping Bilateral Middle Cerebral Artery Aneurysm Via Unilateral Supraorbital Keyhole Approach.
abstract: Clipping bilateral middle cerebral artery (bMCA) aneurysms via unilateral approach in a single-stage operation is considered as a challenge procedure. To our knowledge, there is no study in surgical management of patients with bMCA aneurysms by fully endoscope-controlled techniques. The author reported a patient with bMCA aneurysms who underwent aneurysms clipping via a unilateral supraorbital keyhole approach by endoscope-controlled microneurosurgery, and the patient had an uneventful postoperative course without neurologic impairment and complication. Furthermore, the author discussed the advantages and adaptation of endoscope-controlled clipping bMCA aneurysms via unilateral supraorbital keyhole approach.
authors.affiliation: Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
authors.forename: Jian-Peng
authors.initials: JP
authors.lastname: Wang
authors.forename: Ze-Yu
authors.initials: ZY
authors.lastname: Wu
authors.forename: Jian
authors.initials: J
authors.lastname: Xu
authors.forename: Yi-He
authors.initials: YH
authors.lastname: Dou
mesh_terms: D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D044582:Neuroendoscopes; D044583:Neuroendoscopy / Q000295:instrumentation / Q000379:methods*; D011184:Postoperative Period; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery; D013525:Surgical Instruments; D016896:Treatment Outcome