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KMID : 0857020090240020189
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Kosin Medical Journal
2009 Volume.24 No. 2 p.189 ~ p.193
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One Stage Clipping Through Unilateral Approach for Bilateral Supreatentorial Aneurysms : A Case Report
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Kim Dae-Yong
Kim Jin-Wook
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Abstract
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Patients harboring bilateral supratentorial aneurysms can be approached via the contralateral pterional approach in selected cases. A 48-year-old woman was found to have two aneurysms at the left middle cerebral artery and the right anterior choroidal artery. The main direction of the anterior choroidal artery aneurysm was posterior. A direct clipping was performed via the left pterional approach. After the left middle cerebral artery aneurysm was clipped, the contralateral anterior choroidal artery aneurysm was further exposed and successfully clipped through the contralateral carotico-optic space. The author reports a case of bilateral supratentoral aneurysms that was successfully clipped via unilateral pterional approach, thus avoiding a second craniotomy.
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KEYWORD
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cerebral aneurysm, bilateral suptratentorial aneurysms, unilateral approach
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