Head positioning for anterior circulation aneurysms microsurgery

被引：12

作者：

Chaddad-Neto, Feres ^{[1
,2
,3
]}

Doria-Netto, Hugo Leonardo ^{[2
,3
,4
]}

de Campos-Filho, Jose Maria ^{[2
,3
]}

Carvalhal Ribas, Eduardo Santamaria ^{[5
]}

Ribas, Guilherme Carvalhal ^{[6
,7
]}

de Oliveira, Evandro ^{[2
,8
]}

机构：

[1] Univ Fed Sao Paulo, Dept Neurocirurgia Vasc, Sao Paulo, SP, Brazil

[2] Real Benemerita Associacao Portuguesa Beneficenci, Inst Ciencias Neurol, Lab Microcirurgia, Sao Paulo, Brazil

[3] Sociedade Brasileira Neurocirurgia, Dept Neurocirurgia Vasc, Sao Paulo, Brazil

[4] Hosp Brigadeiro, Dept Neurocirurgia Vasc, Sao Paulo, Brazil

[5] Univ Sao Paulo, Hosp Clin, Fac Med, Dept Neurocirurgia, Sao Paulo, Brazil

[6] Univ Sao Paulo, Fac Med, Dept Cirurgia, LIMO2, Sao Paulo, Brazil

[7] Hosp Beneficencia Portuguesa, Sao Paulo, Brazil

[8] Univ Estadual Campinas, Fac Ciencias Med, Dept Neurol, Campinas, SP, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2014年 / 72卷 / 11期

关键词：

cerebral aneurysm; head positioning; anatomical landmarks; anterior circulation arteries; microsurgery; BASILAR ARTERY; ANATOMY; CRANIOTOMY;

D O I：

10.1590/0004-282X20140156

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Objective: To study the ideal patient's head positioning for the anterior circulation aneurysms microsurgery. Method: We divided the study in two parts. Firstly, 10 fresh cadaveric heads were positioned and dissected in order to ideally expose the anterior circulation aneurysm sites. Afterwards, 110 patients were submitted to anterior circulation aneurysms microsurgery. During the surgery, the patient's head was positioned accordingly to the aneurysm location and the results from the cadaveric study. The effectiveness of the position was noted. Results: We could determine mainly two patterns for head positioning for the anterior circulation aneurysms. Conclusion: The best surgical exposure is related to specific head positions. The proper angle of microscopic view may minimize neurovascular injury and brain retraction.

引用

页码：832 / 840

页数：9

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