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Burr Hole Microsurgery for Middle Cerebral Artery Aneurysms: A Clinical Case Series
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BACKGROUND:
Minimally invasive microsurgery has become popular in neurosurgery. Burr hole microsurgery is another more modern minimally invasive technique that allows surgical treatment of various intracranial pathologies through an extreme small craniotomy. This article presents the first application of the burr hole approach for microsurgical clipping of cerebral aneurysms.
OBJECTIVE:
To assess the feasibility and outcomes of using the burr hole microsurgical technique in cerebral aneurysm surgery.
METHODS:
From March 2020 to August 2020, 3 patients with unruptured middle cerebral artery aneurysms underwent burr hole microsurgical clipping.
RESULTS:
Three patients with middle cerebral bifurcation aneurysms were successfully treated. The duration of surgery was from 62 to 83 min (median 72.5). Postoperatively, no new neurological symptoms, complications, or mortality were observed in all the cases.
CONCLUSION:
Burr hole microsurgery is an advanced neurosurgical method. Although the surgery is performed through a small burr hole approximately 14 mm in size, safe and successful treatment of normal-sized middle cerebral artery aneurysms using standard microsurgical principles and technique is possible.
Ovid Technologies (Wolters Kluwer Health)
Title: Burr Hole Microsurgery for Middle Cerebral Artery Aneurysms: A Clinical Case Series
Description:
BACKGROUND:
Minimally invasive microsurgery has become popular in neurosurgery.
Burr hole microsurgery is another more modern minimally invasive technique that allows surgical treatment of various intracranial pathologies through an extreme small craniotomy.
This article presents the first application of the burr hole approach for microsurgical clipping of cerebral aneurysms.
OBJECTIVE:
To assess the feasibility and outcomes of using the burr hole microsurgical technique in cerebral aneurysm surgery.
METHODS:
From March 2020 to August 2020, 3 patients with unruptured middle cerebral artery aneurysms underwent burr hole microsurgical clipping.
RESULTS:
Three patients with middle cerebral bifurcation aneurysms were successfully treated.
The duration of surgery was from 62 to 83 min (median 72.
5).
Postoperatively, no new neurological symptoms, complications, or mortality were observed in all the cases.
CONCLUSION:
Burr hole microsurgery is an advanced neurosurgical method.
Although the surgery is performed through a small burr hole approximately 14 mm in size, safe and successful treatment of normal-sized middle cerebral artery aneurysms using standard microsurgical principles and technique is possible.
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