Skip to main content
Log in

Direct surgical approach to infraclinoidal aneurysms

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

A loose connective tissue layer covering the intracavernous portion of the internal carotid artery makes the exposure of the anterior syphon knee possible without opening the cavernous sinus. The approach leads by a fronto-latero-basal craniotomy to the anterior part of the cavernous sinus roof (transversal plate). The anatomical relationships are discussed. By means of surgical cases, both the ipsilateral and the contralateral approach to infraclinoidal aneurysms are demonstrated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Iwabuchi, T., Suzuki, Sh., Sobata, E., Intracranial direct operation for carotid-ophthalmic aneurysm by unroofing of the optic canal. Acta Neurochir. (Wien)43 (1978), 163–169.

    Google Scholar 

  2. Milenkovic, Z., Gopic, H., Antovic, P., Zovicic, V., Petrovic, B., Contralateral pterional approach to a carotid-ophthalmic aneurysm ruptured at surgery. J. Neurosurg.57 (1982), 823–825.

    PubMed  Google Scholar 

  3. Mitsugi, T., Kikuchi, H., Karasawa, J., Itoh, K., Takahashi, N., Surgical treatment of carotid-siphon aneurysms. Neurol. Med. Chir. (Tokyo)22 (1981), 513–520.

    Google Scholar 

  4. Nakao, S., Kikuchi, H., Takahashi, N., Successful clipping of carotid-ophthalmic aneurysms through a contralateral pterional approach. J. Neurosurg.54 (1981), 532–536.

    PubMed  Google Scholar 

  5. Nutik, S., Carotid paraclinoid aneurysms with intradural origin and intracavernous location. J. Neurosurg.48 (1978), 526–533.

    PubMed  Google Scholar 

  6. Parkinson, D., A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J. Neurosurg.23 (1965), 474–483.

    PubMed  Google Scholar 

  7. Perneczky, A., Knosp, E., The intracavernous portion of the internal carotid artery. American-European Neurosurgical Winter Conference on Cerebrovascular Diseases and Posterior Fossa Pathology. Obergurgl (Austria), March 1982.

  8. Perneczky, A., Knosp, E., The intracavernous connective tissue cover of the internal carotid artery. Anatomy and surgery. In: Tumors of the Skull Base (Samii, M., ed.). Berlin-Heidelberg-New York-Tokyo: Springer. 1984.

    Google Scholar 

  9. Tesal, J. S., Bergeron, R. Th., Rumbaugh, C. L., Segall, H. D., Aneurysms of the petrous or cavernous portions of the internal carotid artery associated with nonpenetrating head trauma. J. Neurosurg.38 (1973), 568–574.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Perneczky, A., Knosp, E., Vorkapic, P. et al. Direct surgical approach to infraclinoidal aneurysms. Acta neurochir 76, 36–44 (1985). https://doi.org/10.1007/BF01403827

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01403827

Keywords

Navigation