Head positioning for anterior circulation aneurysms microsurgery

Carregando...
Imagem de Miniatura
Citações na Scopus
19
Tipo de produção
article
Data de publicação
2014
Editora
ASSOC ARQUIVOS NEURO- PSIQUIATRIA
Indexadores
Título da Revista
ISSN da Revista
Título do Volume
Autores
CHADDAD-NETO, Feres
DORIA-NETTO, Hugo Leonardo
CAMPOS-FILHO, Jose Maria de
OLIVEIRA, Evandro de
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
ARQUIVOS DE NEURO-PSIQUIATRIA, v.72, n.11, p.832-840, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
cerebral aneurysm, head positioning, anatomical landmarks, anterior circulation arteries, microsurgery
Referências
  1. Chaddad Neto F, 2012, ARQ NEURO-PSIQUIAT, V70, P727
  2. Chaddad-Neto F, 2014, ARQ NEURO-PSIQUIAT, V72, P145, DOI 10.1590/0004-282X20130202
  3. Chaddad-Neto F, 2014, ARQ NEURO-PSIQUIAT, V72, P699, DOI 10.1590/0004-282X20140130
  4. DRAKE CG, 1961, J NEUROSURG, V18, P230, DOI 10.3171/jns.1961.18.2.0230
  5. DRAKE CG, 1968, J NEUROSURG, V29, P436, DOI 10.3171/jns.1968.29.4.0436
  6. Ferreira MAT, 2000, OPER TECH NEUROSURG, V3, P169, DOI 10.1053/otns.2000.16261
  7. FUJITSU K, 1985, J NEUROSURG, V62, P340, DOI 10.3171/jns.1985.62.3.0340
  8. GIBO H, 1981, J NEUROSURG, V55, P560, DOI 10.3171/jns.1981.55.4.0560
  9. RHOTON AL, 1980, SURG NEUROL, V14, P59
  10. Rhoton A L Jr, 1979, Clin Neurosurg, V26, P248
  11. ROSNER SS, 1984, J NEUROSURG, V61, P468, DOI 10.3171/jns.1984.61.3.0468
  12. Yasargil MG, 1987, MICRONEUROSURGERY TH