Head positioning for anterior circulation aneurysms microsurgery-Reference-Cited by-同舟云学术

Head positioning for anterior circulation aneurysms microsurgery

Published:2014-11 Issue:11 Volume:72 Page:832-840
ISSN:0004-282X
Container-title:Arquivos de Neuro-Psiquiatria
language:
Short-container-title:Arq. Neuro-Psiquiatr.

Author:

Chaddad-Neto Feres¹,Doria-Netto Hugo Leonardo²,Campos-Filho José Maria de³,Ribas Eduardo Santamaria Carvalhal⁴,Ribas Guilherme Carvalhal⁵,Oliveira Evandro de⁶

Affiliation:

1. Universidade Federal de São Paulo, Brazil; Real e Benemérita Associação Portuguesa de Beneficência, Brazil; Sociedade Brasileira de Neurocirurgia, Brazil

2. Real e Benemérita Associação Portuguesa de Beneficência, Brazil; Sociedade Brasileira de Neurocirurgia, Brazil; Hospital Brigadeiro, Brazil

3. Real e Benemérita Associação Portuguesa de Beneficência, Brazil; Sociedade Brasileira de Neurocirurgia, Brazil

4. Universidade de São Paulo, Brazil

5. Universidade de São Paulo, Brazil; Hospital Beneficência Portuguesa, Brazil

6. Real e Benemérita Associação Portuguesa de Beneficência, Brazil; Universidade Estadual de Campinas, Brazil

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Link

http://www.scielo.br/pdf/anp/v72n11/0004-282X-anp-72-11-832.pdf

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