Author(s): WANG Ming-sheng, WANG Yong
Pages: 272-278
Year: 2017 Issue:  3
Journal: Chinese Journal of Clinical Neurosciences
Keyword:  minipterional approach; middle cerebral artery bifurcation aneurysm; microneurosurgery;
Abstract: Aim To summarize the outcome and strategies of clipping surgery of middle cerebral artery bifurcation aneurysms (MbifA) via minipterional approach (MPT).Methods Clinical Data of 41 clipping surgery of MbifA via MPT in department of neurosurgery from January 2010 to December 2015 were analyzed retrospectively.Results Among all cases,1 case required another surgery for the remnant aneurysm, 5 cases of postoperative complications were reported, with no temporalis or facial nerve dysfunction. 1 case of vasospasm was reported. According to the GOS evaluation, 32 cases got well outcome (GOS 4~5) while 9 got poor outcome (GOS 2~3), with no death case (GOS 1) reported. In follow-up from 6 to 60 months, 35 cases got well outcome while 6 got poor outcome. 6 cases of hydrocephalus were reported. No case of reoccurrence or rebleeding was reported.Conclusion Clipping surgery of MbifA via MPT is safe, effcient, little invasive and fast. It is appropriate for most common MbifA.