Simultaneous posterior communicating artery aneurysm clipping and selective amygdalohippocampectomy via direct lateral access through the mesial temporal lobe to the basal cisterns

ABSTRACT Objective To contribute our experience with surgical treatment of patients with mesial temporal lobe epilepsy (mTLE) undergoing anterior temporal lobectomy (ATL) or selective amygdalohippocampectomy (SelAH). Method This is a retrospective observational study. The sample included patients with medically refractory mTLE due to unilateral mesial temporal sclerosis who underwent either ATL or SelAH, at Hospital de Clinicas – UFPR, from 2005 to 2012. We report seizure outcomes, using Engel classification, cognitive outcomes, using measurements of verbal and visuospatial memories, as well as operative complications. Result Sixty-seven patients (33 ATL, 34 SelAH) were studied; median follow-up was 64 months. There was no statistically significant difference in seizure or neuropsychological outcomes, although verbal memory was more negatively affected in ATL operations on patients’ dominant hemispheres. Higher number of major complications was observed in the ATL group (p = 0.004). Conclusion Seizure and neuropsychological outcomes did not differ. ATL appeared to be associated with higher risk of complications.

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Posterior Communicating Artery Aneurysm: Progressively Enlarging, Symptomatic, and Partially Thrombosed Fusiform True Posterior Communicating Artery Aneurysm, Treated by Coil Occlusion of the Parent Artery and Disconnection of the Posterior Communicating Artery by Parallel Flow Diversion in Two Treatment Sessions; Complete Aneurysm Occlusion, Aneurysm Shrinkage, and Good Clinical Recovery

The Aneurysm Casebook ◽

10.1007/978-3-319-70267-4_164-1 ◽

2019 ◽

pp. 1-14

Author(s):

Alexander Sirakov ◽

Hosni Abu Elhasan ◽

Marta Aguilar Pérez ◽

Hansjörg Bäzner ◽

Hans Henkes

Keyword(s):

Artery Aneurysm ◽

Parallel Flow ◽

Posterior Communicating Artery ◽

Flow Diversion ◽

Parent Artery ◽

Clinical Recovery ◽

Coil Occlusion ◽

Aneurysm Occlusion ◽

Posterior Communicating Artery Aneurysm

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Endovascular Coil Embolization of a Posterior Communicating Artery Aneurysm: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opaa278 ◽

2020 ◽

Vol 19 (6) ◽

pp. E597-E598

Author(s):

Maureen A Darwal ◽

Zakaria Hakma ◽

Mandy J Binning ◽

Adam Arthur ◽

Bain Mark ◽

...

Keyword(s):

New York ◽

Endovascular Treatment ◽

Coil Embolization ◽

Intracranial Aneurysms ◽

Artery Aneurysm ◽

Posterior Communicating Artery ◽

International Subarachnoid Aneurysm Trial ◽

Endovascular Coil Embolization ◽

Posterior Communicating Artery Aneurysm ◽

Set Up

Abstract Since the International Subarachnoid Aneurysm Trial,1 endovascular treatment has been the favored treatment for appropriate ruptured intracranial aneurysms. While our endovascular technology has advanced to allow us to treat the majority of intracranial aneurysms, simple coil embolization is still the most common modality. This video demonstrates the fundamentals of aneurysm catheterization and coiling for safe treatment. In addition, the set-up and devices are detailed. This video is to add to the library of basic techniques that will aid a large number of practitioners. This patient consented to endovascular treatment. The video demonstrates endovascular coil embolization of a posterior communicating artery aneurysm in a 76-yr-old female who presented with a subarachnoid hemorrhage. Image of biplane suite in video used courtesy of Siemens Medical Solutions USA, Inc. Illustration at 5:12 reprinted from Yasargil MG, et al, Microneurosurgery IV B, p. 9, Thieme, New York, 1995.

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