These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Is the Mayfield Head Holder Obligatory for Intracranial Aneurysm Clipping?
    Author: Demartini Z, Gatto LAM, da Rocha TC, Maeda AK, Valerio A, Koppe GL, Francisco AN.
    Journal: Pediatr Neurosurg; 2018; 53(5):360-363. PubMed ID: 30145594.
    Abstract:
    Intracranial aneurysm surgery is commonly performed using pinned head holders, which pose a higher risk for the pediatric population. Several authors recommend avoiding the use of this device when it is not strictly necessary, and this is currently possible considering advances in anesthesiology and monitoring. As the literature on microsurgery without skull clamp use is scant, we report the case of a 15-year-old boy presenting with a subarachnoid hemorrhage after rupture of a middle cerebral artery aneurysm. Surgical treatment was performed with the head resting on a gel cushion horseshoe; aneurysm clipping was achieved without wakefulness or awareness and the patient had a good recovery.
    [Abstract] [Full Text] [Related] [New Search]