颅内动脉瘤手术入路.pptVIP

椎动脉-基底动脉区域动脉瘤 椎动脉上段动脉瘤, PICA动脉瘤; 基地动脉全长范围动脉瘤,AICA动脉瘤; 颈静脉球的影响; 乙壮窦前入路 远外侧入路 远外侧入路 小脑后下动脉瘤 远外侧入路 远外侧入路 枕下入路 枕下入路 入路原则: 1,动脉瘤原位暴露,无脑组织损伤;2,充分暴露动脉瘤,载瘤动脉和周围结构;3, * A frontotemporal flap centered at the pterion (pterional craniotomy) may be used for internal carotid artery aneurysms; The flap may be enlarged posterosuperiorly for reaching aneurysms of the middle cerebral artery and of the internal carotid artery bifurcation, forward for approaches to the anterior communicating area; posteriorly to provide a pterional-pretemporal or anterior subtemporal approach for an aneurysm of