Pterional Approach

Pterional Approach

Authors

  • Sabino Luzzi Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Neurosurgery Unit, Department of Surgical Sciences, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Alice Giotta Lucifero
  • Nunzio Bruno
  • Matias Baldoncini
  • Alvaro Campero
  • Renato Galzio

Keywords:

Intracranial Aneurysms; Neurovascular Surgery; Pterional Approach; Skull Base Tumors; Sylvian Fissure.

Abstract

The pterional approach is a workhorse in neurosurgery, to the point where perfect knowledge of its execution is essential in neurosurgical daily practice. The pterional transsylvian corridor is used to treat aneurysms involving anterior circulation, basilar apex, the proximal segment of the superior cerebellar and posterior cerebral artery, arteriovenous malformations and cavernous hemangiomas of the basal forebrain, anterior and middle skull base tumors, gliomas of the frontal, parietal, and temporal opercula, insula, mediobasal temporal region, cerebral peduncles, interpeduncular fossa, and also orbital lesions.

We herein overview the core technique and variations of the pterional approach aimed at broadening surgical freedom and decreasing the risk of approach-related complications.

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Published

21-03-2022

How to Cite

1.
Luzzi S, Giotta Lucifero A, Bruno N, Baldoncini M, Campero A, Galzio R. Pterional Approach. Acta Biomed. 2022;92(S4):e2021346. doi:10.23750/abm.v92iS4.12775