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  • Minimally Invasive Transpalpebral ‘‘Eyelid’’ Approach to Complex Middle Cerebral Artery Aneurysms.

    Final Number:

    Mauricio Mandel MD, PhD; Eberval G. Figueiredo MD, PhD; Rafael Tutihashi MD PhD; Manoel Jacobsen Teixeira

    Study Design:

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2016 Annual Meeting

    Introduction: The optimal treatment for complex middle cerebral artery (MCA) aneurysms is controversial. Although recent technological advances have led to successful endovascular treatment, MCA aneurysms have been considered more conducive to surgery. As minimally invasive options are limited and possess lots of drawbacks, a new transpalpebral approach for is proposed and described.

    Methods: The objective was to describe and assess the surgical results of the Minimally Invasive Transpalpebral Approach in MCA aneurysms. From 2013 to 2015 the data of 20 patients with unruptured complex MCA aneurysms were included into a prospective database.

    Results: All procedures were successfully performed in a standardized way, and no major complications related to the new approach were observed. All patients underwent postoperative angiographic control that showed no significant residual neck. Three-month follow-up was sufficient to shown no visible scars with excellent cosmetic results.

    Conclusions: Endovascular treatment of MCA aneurysms continues to be the future. In this sense, the transpalpebral approach comes as a resolute, minimally invasive, safe and cosmetically adequate solution for complex MCA aneurysms of the present.

    Patient Care: There is a lack of minimally invasive options for treatment of complex MCA aneurysms. The transpalpebral approach is a new safe alternative, reducing surgical trauma and hospital stay.

    Learning Objectives: The Transpalpebral Approach can be considered an minimally invasive alternative for complex MCA aneurysms


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