Open AccessInterhemispheric approach to anterior communicating artery aneurysm: A case illustration
Author(s) -
Satya Bhusan Senapati,
Lavlesh Rathore,
Yoshihiko Yamada,
Yōkō Kato
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_43_19
Subject(s) - anterior communicating artery , medicine , aneurysm , anterior cerebral artery , resection , surgery , cardiology , middle cerebral artery , ischemia
There are two main types of approaches for anterior communicating artery (AcomA) aneurysms, namely pterional approach, and an interhemispheric (IH) approach. Pterional approach is the most common for anterior circulation aneurysms. However, this approach cannot be used without resection of gyrus rectus when aneurysm is located high within the IH fissure and directed posterosuperiorly, which is better handled with IH approach. In this article, we will describe the tricks of IH approach with a case illustration.