Microsurgical technique of symptomatic intracavernous aneurysm

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Symptomatic intracavernous aneurysm is rare. Cranial nerves in the cavernous sinus are subjected to the mass effect of an expanding aneurysm. Microsurgical clipping is the treatment of choice to relieve compressive cranial neuropathy. In this video, the authors present a case of intracavernous aneurysm causing diplopia, ptosis, and facial numbness. The patient was operated on via a pretemporal transclinoid-transcavernous approach. The aneurysm was completely obliterated through direct clipping. There were no new-onset neurologic deficits and complications after the operation. Complete recovery of the diplopia, ptosis, and facial numbness was observed at the 6-month postoperative follow up.

The video can be found here: http://youtu.be/4w5QUoNIAQM.

Symptomatic intracavernous aneurysm is rare. Cranial nerves in the cavernous sinus are subjected to the mass effect of an expanding aneurysm. Microsurgical clipping is the treatment of choice to relieve compressive cranial neuropathy. In this video, the authors present a case of intracavernous aneurysm causing diplopia, ptosis, and facial numbness. The patient was operated on via a pretemporal transclinoid-transcavernous approach. The aneurysm was completely obliterated through direct clipping. There were no new-onset neurologic deficits and complications after the operation. Complete recovery of the diplopia, ptosis, and facial numbness was observed at the 6-month postoperative follow up.

The video can be found here: http://youtu.be/4w5QUoNIAQM.

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Article Information

CORRESPONDENCE Sanford PC. Hsu, M.D., Department of Neurosurgery, The Neurological Institute, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan, R.O.C. email: doc3379b@gmail.com.

INCLUDE WHEN CITING Published online July 1, 2015; DOI: http://thejns.org/doi/abs/10.3171/2015.7.FocusVid.14610.

© AANS, except where prohibited by US copyright law.

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