Surgical Management of Bilateral Middle Cerebral Artery Aneurysms via a Unilateral Supraorbital Key-Hole Craniotomy

Abstract

Bilateral aneurysms of the MCA may be treated sufficiently through a unilateral supraorbital key-hole approach in selected patients. This is also possible in patients presenting with SAH. Factors necessitating bilateral craniotomies were brain swelling and complex configuration of the contralateral aneurysm.