Removal of Intracranial K-Wire through Combined Endoscopic and Pterional Approach

2020 ◽  
Author(s):  
Reginald Fong ◽  
Christoph Griessenauer ◽  
Andrew Conger
Keyword(s):  
Pterional Approach

A Less Invasive Pterional Approach to an Unruptured Cerebral Aneurysm

2006 ◽  
Vol 34 (6) ◽  
pp. 389-394 ◽  
Author(s):  
Kazuhiro YOKOYAMA ◽  
Hiroshi NOGUCHI ◽  
Yoshitomo UCHIYAMA ◽  
Hiroshi YOKOTA ◽  
Toshisuke SAKAKI
Keyword(s):  
Cerebral Aneurysm ◽  
Pterional Approach ◽  
Less Invasive ◽  
Unruptured Cerebral Aneurysm

Pterional Approach for Surgical Treatment of Olfactory Groove Meningiomas

Neurosurgery ◽  
1989 ◽  
Vol 25 (6) ◽  
pp. 942-947 ◽  
Author(s):  
W. Hassler ◽  
J. Zentner
Keyword(s):  
Surgical Treatment ◽  
Superior Sagittal Sinus ◽  
Cerebrospinal Fluid Fistula ◽  
Pterional Approach ◽  
Olfactory Groove ◽  
Sagittal Sinus ◽  
Frontal Brain ◽  
Bridging Veins ◽  
Frontal Sinuses ◽  
Fluid Fistula

Abstract We present our experience with the surgical treatment of olfactory groove meningiomas using a pterional approach. This approach provides the advantages of previous techniques, such as preserving the frontal brain and superior sagittal sinus, early devascularization of the tumor, and late dissection of tumor borders. Moreover, it also compensates for the shortcomings of other techniques, e.g., compression of frontal bridging veins, late dissection of dorsal tumor aspects involving vessels and optic nerves as well as facultative infection and cerebrospinal fluid fistula-related complications caused by opening of frontal sinuses. To date, 11 patients were treated in this way. As we encountered no surgical complications in our series we are encouraged to present our procedure.

Tuberothalamic Infarct after Division of a Hypoplastic Posterior Communicating Artery for Clipping of a Basilar Tip Aneurysm: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 28 (3) ◽  
pp. 456-459 ◽  
Author(s):  
Luca Regli ◽  
Nicolas de Tribolet
Keyword(s):  
Case Report ◽  
Clinical Observation ◽  
Significant Risk ◽  
Posterior Communicating Artery ◽  
Microsurgical Anatomy ◽  
Parent Vessel ◽  
Pterional Approach ◽  
Basilar Tip Aneurysm

Abstract The authors present a case of a tuberothalamic infarct subsequent to division of the posterior communicating artery for clipping of a high-lying aneurysm of the basilar bifurcation using the pterional approach. In view of this clinical observation and some particular aspects of the microsurgical anatomy of the perforating vessels of the posterior communicating artery, we conclude that interrupting this parent vessel carries a significant risk of infarction.

Postoperative anosmia after removal of pituitary gland adenomas using the pterional approach

1992 ◽  
Vol 119 (1-4) ◽  
pp. 101-103 ◽  
Author(s):  
I. H. Aydin ◽  
A. �nder ◽  
H. H. Kadioglu ◽  
I. Tahmazoglu ◽  
G. R. Kayaoglu
Keyword(s):  
Pituitary Gland ◽  
Pterional Approach

OLFACTORY DYSFUNCTION AFTER IPSILATERAL AND CONTRALATERAL PTERIONAL APPROACHES FOR CEREBRAL ANEURYSMS

Neurosurgery ◽  
2009 ◽  
Vol 65 (4) ◽  
pp. 727-732 ◽  
Author(s):  
Jaechan Park ◽  
Sun-Ho Lee ◽  
Dong-Hun Kang ◽  
Jung-Soo Kim
Keyword(s):  
Aneurysmal Subarachnoid Hemorrhage ◽  
Cerebral Aneurysms ◽  
Olfactory Dysfunction ◽  
Anterior Communicating Artery ◽  
Pterional Approach ◽  
Anterior Circulation ◽  
Related Risk ◽  
Lateral Distance ◽  
Contralateral Pterional Approach ◽  
Anterior Circulation Aneurysms

Abstract OBJECTIVE This study investigated olfactory dysfunction after using a contralateral or ipsilateral pterional approach for anterior circulation aneurysms and related risk factors. METHODS This study included 189 patients who experienced an aneurysmal subarachnoid hemorrhage and in whom a pterional approach was used, including a contralateral pterional approach (12 patients), a pterional approach for an anterior communicating artery (AComA) aneurysm (70 patients), and an ipsilateral pterional approach for aneurysms of the anterior circulation, excluding the AComA (107 patients). In addition to questionnaires on olfactory function, Sniffin' Sticks tests were performed 12 to 38 months after the operation. RESULTS The incidence of olfactory dysfunction was high: 58% (7 of 12) with a contralateral pterional approach, 14% (10 of 70) with a pterional approach for an AComA aneurysm, and 4% (4 of 107) with an ipsilateral pterional approach for aneurysms of the anterior circulation, except for the AComA. In addition, patients 55 years and older had a higher incidence of olfactory dysfunction. Among the 12 patients in whom the contralateral pterional approach was used, 5 (42%) were anosmic and 2 (17%) were hyposmic. The incidence of olfactory dysfunction was also significantly higher at ages 55 years and older. The size and location of the contralateral aneurysm, if small (<1 cm) and located within a 3-cm lateral distance from the midline, were not found to influence the incidence. CONCLUSION A higher incidence of olfactory dysfunction was found in those patients in whom a contralateral pterional approach and a pterional approach for an AComA aneurysm were used. Another major risk factor was an age of 55 years and older.

History of the Pterional Approach

1989 ◽  
pp. 1-9 ◽  
Author(s):  
Bengt Ljunggren ◽  
John L. Fox
Keyword(s):  
Pterional Approach ◽  
History Of
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