脑中动脉瘤的夹闭，我该如何做聚焦的Sylvian入路

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-01-10 DOI:10.1007/s00701-025-06423-9

Milad Neyazi, Rajiv Kumar Khajuria, Sajjad Muhammad

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引用次数: 0

摘要

聚焦Sylvian入路（FSA）是一种精细的微创技术，用于夹闭小到中等大小的大脑中动脉（MCA）动脉瘤，优先考虑安全性和美观性。方法采用颞上线开颅，切口隐藏于颞肌内。仔细解剖Sylvian裂缝以保留静脉结构。结论fsa在保持足够暴露的同时，获得了最佳的血管控制和良好的美容效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How I do it — focused Sylvian approach for clipping of middle cerebral artery aneurysms

Background

The Focused Sylvian Approach (FSA) is a refined, minimally invasive technique for clipping small to medium-sized middle cerebral artery (MCA) aneurysms, prioritizing safety and aesthetics.

Method

The craniotomy remains confined to the superior temporal line, with the incision concealed within the temporal muscle. The Sylvian fissure is carefully dissected to preserve venous structures.

Conclusion

FSA achieves optimal vascular control with superior cosmetic outcomes while maintaining adequate exposure for safe aneurysm clipping.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.