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
DOI
10.3171/2015.v1.focus14545