Title

Surgical treatment of a large ruptured internal carotid artery bifurcation aneurysm

Publication Date

2015

Journal Title

Neurosurg Focus

Abstract

Ruptured aneurysms with intraparenchymal hematoma and mass effect are primarily treated by surgical clipping. In this video presentation, a 68 year old male with a large ruptured right ICA bifurcation aneurysm is presented. Patient's neurological exam was rapidly deteriorating, therefore the patient was transferred to the operating theater after initial evaluation by CT and CT angiogram. A pterional craniotomy was performed, the frontal hematoma was partially removed and the aneurysm was clipped. Residual hematoma was removed after securing the aneurysm and the aneurysm dome was punctured(detail of surgical clipping in the video). Patient made a good recovery at 2 weeks post-op with complete recovery of left sided weakness, and some remaining cognitive deficit. The video can be found here: http://youtu.be/dKFWptdgC4M .

Volume Number

38

Issue Number

VideoSuppl1

Pages

Video7

Document Type

Article

EPub Date

2015/01/03

Status

Faculty

Facility

School of Medicine

Primary Department

Neurosurgery

PMID

25554848

DOI

10.3171/2015.v1.focus14545