Single Stage Clipping of Bilateral Middle Cerebral Aneurysms
Journal Title: Nepal Journal of Neuroscience - Year 2013, Vol 10, Issue 2
Abstract
Surgical management of bilateral intracranial aneurysms is difficult. In the case of bilateral Middle Cerebral Arteng (MCA) aneurysms, the various options of surgical treatment are, a unilateral approach, supraorbital key hole method, subfrontal approach, single stage bilateral craniotomy or two stage bilateral craniotomy. We report a case of bilateral MCA aneurysm which was managed by single stage bilateral pterional craniotomy. As seen in this case report the patient was discharged as for a unilateral approach without any complications. Although challenging single stage bilateral clipping is possible in developing countries where increased cost can be an important deterrent in medical treatment. This approach should thus be considered in suitable cases of bilateral MCA aneurysm.
Authors and Affiliations
Dr. Yam Bahadur Roka M. S. (Surgery), M. Ch. (Neurosurgery), F. N. N. I. (Skull Base Surgery),
Keywords
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