ArticleActa neurochirurgica2021
How I do it: proximal control in parkinson's triangle for a very large paraclinoid aneurysm.
Article in Acta neurochirurgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 3 citations in OpenAlex.
- Combined endoscopic endonasal and transcranial approach for internal carotid artery aneurysms: usefulness and safety of endonasal proximal control.Neurosurgical review · 2023Article
- The rule of five: A novel anatomical landmark for approaching cavernous sinus content.Surgical neurology international · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
backgroundParaclinoid aneurysms, especially when they are large, can be quite difficult to treat, both endovascularly and through microsurgical clip reconstruction. There are many possibilities to approach this region surgically, and most hinge on total or partial removal of the anterior clinoid process. Gaining proximal control may be a challenge when space is limited, which is why Parkinson's triangle may be a viable alternative in some cases.
methodsWe describe in a stepwise fashion the steps used to reconstruct a very large paraclinoid aneurysm. We first attempted to gain proximal control in the carotid cave and later in Parkinson's triangle because of limited manoeuvrability.
conclusionProximal control in Parkinson's triangle can be a safe alternative when the post-clinoidal segment of the internal carotid artery (ICA) is short and working space is limited in paraclinoid aneurysm microsurgical clip reconstruction.
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