NEUROSURGICAL
FOCUS
VIDEO
Neurosurg Focus 39 (Suppl1):V11, 2015
Microsurgical technique of symptomatic intracavernous aneurysm Chih-Hsiang Liao, M.D.,1 Chun-Fu Lin, M.D.,1,2 Sanford PC. Hsu, M.D.,1,2 Min-Hsiung Chen, M.D.,1,2 and Yang-Hsin Shih, M.D.1,2 1 2
Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China
Symptomatic intracavernous aneurysm is rare. Cranial nerves in the cavernous sinus are subjected to the mass effect of an expanding aneurysm. Microsurgical clipping is the treatment of choice to relieve compressive cranial neuropathy. In this video, the authors present a case of intracavernous aneurysm causing diplopia, ptosis, and facial numbness. The patient was operated on via a pretemporal transclinoid-transcavernous approach. The aneurysm was completely obliterated through direct clipping. There were no new-onset neurologic deficits and complications after the operation. Complete recovery of the diplopia, ptosis, and facial numbness was observed at the 6-month postoperative follow up. The video can be found here: http://youtu.be/4w5QUoNIAQM. KEYWORDS clipping; cranial neuropathy; intracavernous aneurysm; pretemporal transclinoid-transcavernous approach; video
SUBMITTED September 1, 2014. ACCEPTED January 27, 2015. INCLUDE WHEN CITING Published online July 1, 2015; DOI: http://thejns.org/doi/abs/10.3171/2015.7.FocusVid.14610. CORRESPONDENCE Sanford PC. Hsu, M.D., Department of Neurosurgery, The Neurological Institute, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan, R.O.C. email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 39 • July 2015
1
FOCUS
VIDEO
Neurosurg Focus 39 (Suppl1):V11, 2015
Microsurgical technique of symptomatic intracavernous aneurysm Chih-Hsiang Liao, M.D.,1 Chun-Fu Lin, M.D.,1,2 Sanford PC. Hsu, M.D.,1,2 Min-Hsiung Chen, M.D.,1,2 and Yang-Hsin Shih, M.D.1,2 1 2
Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China; and National Yang Ming University, School of Medicine, Taipei, Taiwan, Republic of China
Symptomatic intracavernous aneurysm is rare. Cranial nerves in the cavernous sinus are subjected to the mass effect of an expanding aneurysm. Microsurgical clipping is the treatment of choice to relieve compressive cranial neuropathy. In this video, the authors present a case of intracavernous aneurysm causing diplopia, ptosis, and facial numbness. The patient was operated on via a pretemporal transclinoid-transcavernous approach. The aneurysm was completely obliterated through direct clipping. There were no new-onset neurologic deficits and complications after the operation. Complete recovery of the diplopia, ptosis, and facial numbness was observed at the 6-month postoperative follow up. The video can be found here: http://youtu.be/4w5QUoNIAQM. KEYWORDS clipping; cranial neuropathy; intracavernous aneurysm; pretemporal transclinoid-transcavernous approach; video
SUBMITTED September 1, 2014. ACCEPTED January 27, 2015. INCLUDE WHEN CITING Published online July 1, 2015; DOI: http://thejns.org/doi/abs/10.3171/2015.7.FocusVid.14610. CORRESPONDENCE Sanford PC. Hsu, M.D., Department of Neurosurgery, The Neurological Institute, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan, R.O.C. email: [email protected]. ©AANS, 2015
Neurosurg Focus Volume 39 • July 2015
1
