Head positioning for anterior circulation aneurysms microsurgery

To study the ideal patient's head positioning for the anterior circulation aneurysms microsurgery. 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...

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Bibliographic Details
Published in:Arquivos de neuro-psiquiatria 2014-11, Vol.72 (11), p.832-840
Main Authors: Chaddad-Neto, Feres, Doria-Netto, Hugo Leonardo, Campos-Filho, José Maria de, Ribas, Eduardo Santamaria Carvalhal, Ribas, Guilherme Carvalhal, Oliveira, Evandro de
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anatomic Landmarks
aneurisma cerebral
artérias da circulação anterior
Craniotomy - methods
Female
Head - surgery
Humans
Intracranial Aneurysm - surgery
Male
Medical Illustration
microcirurgia
Microsurgery - instrumentation
Microsurgery - methods
Middle Aged
NEUROSCIENCES
Neurosurgical Procedures - instrumentation
Neurosurgical Procedures - methods
Patient Positioning - methods
posicionamento da cabeça
PSYCHIATRY
Reference Values
reparos anatômicos
Reproducibility of Results
Treatment Outcome
Young Adult
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Summary:To study the ideal patient's head positioning for the anterior circulation aneurysms microsurgery. 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. We could determine mainly two patterns for head positioning for the anterior circulation aneurysms. The best surgical exposure is related to specific head positions. The proper angle of microscopic view may minimize neurovascular injury and brain retraction.
ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/0004-282X20140156