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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 946-948

Interhemispheric approach to anterior communicating artery aneurysm: A case illustration


1 Department of Neurosurgery, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India; Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan
2 Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan; Department of Neurosurgery, Shri Balaji Institute of Medical Sciences, Raipur, Chhattisgarh, India
3 Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan

Correspondence Address:
Satya Bhusan Senapati
CRH, SMIMS, 5th Mile, Tadong, Gangtok, Sikkim, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_43_19

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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.


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