后循环动时脉瘤手术入路.pptVIP

后循环颅内动脉瘤手术入路 宣武医院神经外科 何川 2009年2月12日 结束 谢谢 何川 B, a basilar apex aneurysm is exposed by a frontotemporal approach. The sylvian fissure has been split and the frontal and temporal lobes are retracted to expose the aneurysm. The middle cerebral, anterior cerebral, and anterior choroidal arteries and the optic nerves are also exposed. The carotid artery is retracted with a spatula dissector to expose the aneurysm. * A, a basilar apex aneurysm is shown arising at the origin of the posterior cerebral arteries, as exposed by a right anterior subtemporal craniotomy. Note scalp incision and bone flap o