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New Trends of Surgery for Stroke and its Perioperative Management pp 23–29Cite as

Conventional microsurgical treatment of paraclinoid aneurysms: state of the art with the use of the selective extradural anterior clinoidectomy SEAC

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Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 94))

Summary

Surgical treatment of paraclinoid aneurysms is considered to be difficult due to their complicated anatomical location in the vicinity of important neural, vascular and bony structures. We present our clinical experience of the past 10 years of conventional microsurgical treatment of 81 paraclinoid aneurysms in 75 patients with the use of selective extradural anterior clinoidectomy SEAC and discuss the method of therapy option by reviewing recent reports on results of endovascular coiling method and the combination of these with conventional microsurgical therapy. The favorable surgical results with the use of SEAC and no recurrence of the treated aneurysm after clipping procedure in our series indicate that direct surgery can still be a standard technique for paraclinoid aneurysms in view of the fact that the endovascular aneurysm coiling methods are still associated with a considerable percentage of incomplete occlusion and present the problem of coil packing.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland

    N. Khan, S. Yoshimura, P. Roth, E. Cesnulis, D. Koenue-Leblebicioglu, H.-G. Imhof & Y. Yonekawa

  2. Department of Anesthesiology, University Hospital Zurich, Zurich, Switzerland

    M. Curcic

  3. Neurochirurgische Universitätsklinik Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland

    Y. Yonekawa

Authors
  1. N. Khan
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  2. S. Yoshimura
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  4. E. Cesnulis
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  5. D. Koenue-Leblebicioglu
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Editors and Affiliations

  1. University Hospital, Zurich, Switzerland

    Yasuhiro Yonekawa  & Emanuela Keller  & 

  2. Department of Neurosurgery, Sendai National Hospital, Sendai, Japan

    Yoshiharu Sakurai

  3. Department of Neurosurgery, Kyoto National Hospital, Kyoto, Japan

    Tetsuya Tsukahara

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© 2005 Springer-Verlag

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Khan, N. et al. (2005). Conventional microsurgical treatment of paraclinoid aneurysms: state of the art with the use of the selective extradural anterior clinoidectomy SEAC. In: Yonekawa, Y., Keller, E., Sakurai, Y., Tsukahara, T. (eds) New Trends of Surgery for Stroke and its Perioperative Management. Acta Neurochirurgica Supplements, vol 94. Springer, Vienna. https://doi.org/10.1007/3-211-27911-3_5

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  • DOI: https://doi.org/10.1007/3-211-27911-3_5

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-24338-1

  • Online ISBN: 978-3-211-27911-3

  • eBook Packages: MedicineMedicine (R0)

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