J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780435
Presentation Abstracts
Video Presentations

Modified Orbitozygomatic Craniotomy, Anterior Clinoidectomy, and Retrograde Suction Decompression “Dallas Technique” for Large Unruptured Clinoidal-Ophthalmic Segment Aneurysm

Authors

  • Kara A. Parikh

    1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States

  • Vincent N. Nguyen

    1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States

  • Eva Wu

    2   University of Miami, Coral Gables, Florida, United States

  • Adam S. Arthur

    1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States

  • L. Madison Michael

    1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States

  • Nickalus R. Khan

    1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
Further Information
Also available at
 
 

    We describe the case of a 60-year-old female who presented with left-sided visual loss and a giant unruptured clinoidal-ophthalmic segment aneurysm with extradural and intradural components. The patient underwent an orbitopterional craniotomy, anterior clinoidectomy, and distal dural ring dissection. The aneurysm was trapped and retrograde suction decompression via the “Dallas Technique” was employed for safe clip reconstruction of the aneurysm. The technical considerations regarding the suction decompression technique to treat giant paraclinoid aneurysms are reviewed.

    Download

     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    05 February 2024

    © 2024. Thieme. All rights reserved.

    Georg Thieme Verlag KG
    Rüdigerstraße 14, 70469 Stuttgart, Germany