Cherian Iype, Kasper Ekkehard M, Agarwal Amit
Department of Neurosurgery, College of Medical sciences, Bharatpur, Chitwan, Nepal.
Department of Neurosurgery, Harvard Medical School and Director of Neurosurgical Oncology at BIDMC, Boston/MA, USA.
Asian J Neurosurg. 2018 Jul-Sep;13(3):777-778. doi: 10.4103/ajns.AJNS_200_16.
An understanding of the microsurgical anatomy of posterior clinoid process (PCP) is extremely important to where the removal of PCP is required to access the interpeduncular and prepontine cisterns and upper basilar artery region to manage the aneurysms located in this region. In the present article, we describe our experience with a technique that is safe and provides ample space to look into these regions. The key to safe drilling is that the drilling of the posterior clinoid needs to be performed in a "touch and back" manner (rather than clockwise or counterclockwise motion) to break the cortex.
了解后床突（PCP）的显微外科解剖结构对于在需要切除PCP以进入脚间池、脑桥前池和基底动脉上段区域来处理位于该区域的动脉瘤时极为重要。在本文中，我们描述了一种安全且能提供足够空间观察这些区域的技术经验。安全钻孔的关键在于后床突的钻孔需要以“接触并退回”的方式（而非顺时针或逆时针转动）来穿透皮质。
