Single fronto-temporal sylvian vein reconstruction when treating a large partially thrombosed aneurysm of the M1 middle cerebral artery
Published 2016-11-10
Keywords
- cerebral vein suturing,
- cerebral vein reconstruction,
- transsylvian approach,
- cerebral aneurysm
How to Cite
Copyright (c) 2016 Dubovoy A.V., Ovsyannikov K.S., Amelin M.E.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
The article describes a clinical case of clipping the neck of large partially thrombosed aneurysm by using a transsylvian approach. A feature of the case is an atypical structure of the Sylvian fissure, with just one vein draining both the frontal and the temporal lobes and hindering access to the Sylvian fissure. The problem was solved by cutting the vein, performing the aneurysm neck clipping and suturing the cut vein by means of end-to-end technique.
Received 19 April 2016. Accepted 7 September 2016.
Funding: The study had no sponsorship.
Conflict of interest: The authors declare no conflict of interest.
References
- Kazumata K, Kamiyama H, Ishikawa T, Takizawa K, Maeda T, Makino K, Gotoh S. Operative anatomy and classification of the sylvian veins for the distal transsylvian approach. Neurol Med Chir (Tokyo). 2003;43(9):427-33.
- Motoyama Y, Gurung P, Takeshima Y, Nakagawa I, Park YS, Nakase H. Indocyanine Green (ICG) Videoangiography-Guided Dissection of the Sylvian Fissure on the Transsylvian Approach: Technical Note. World Neurosurg. 2016;87: 45-7. DOI: 10.1016/j.wneu.2015.11.069.
- Maekawa H, Hadeishi H. Venous-Preserving Sylvian Dissection. World Neurosurg. 2015;84(6):2043-52. DOI: 10.1016/j.wneu.2015.07.050.
- Lehecka M, Laakso A, Hernesniemi J. Helsinki Microneurosurgery Basics and Tricks. Helsinki, 2011. pp. 200–201.