Abstract
The authors review their experience in the surgery of intracranial aneurysms via an
eyebrow keyhole approach. The eyebrow keyhole approach presumes a skin incision in
the lateral two-thirds of the eyebrow followed by small supraorbital craniotomy (15
× 25 mm). Using this approach and an intraoperative endoscope for better visualisation
of the aneurysmal neck, the authors operated on thirty-seven patients with forty intracranial
aneurysms. There was no mortality, postoperative recovery was fast, and the cosmetic
effect was excellent. Advantages and possibilities of this approach are discussed
and results are presented. The authors recommend this approach as a minimal invasive
surgery procedure in the treatment of intracranial aneurysms. When performed by experienced
vascular neurosurgeons this approach is neither more difficult for the surgeon nor
more dangerous for the patient than any other standard craniotomy procedure. According
to the authors' present results, surgery of intracranial aneurysm via an eyebrow keyhole
approach is the method of choice when performed by an experienced vascular neurosurgeon.
Key words
Eyebrow - Keyhole - Intracranial aneurysm - Endoscopy
