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Fotos intraoperatorias del abordaje Pterional Keyhole en la cirugía de aneurismas cerebrales. (A)Incisión de piel de 45 cm semicurvada con base en punto frontocigomático,(B) Apertura dural y visualización de estructuras de base de cráneo, (C)Nervio óptico y bifurcación carotídea a mayor aumento. (D)Cierre de duramadre 

Fotos intraoperatorias del abordaje Pterional Keyhole en la cirugía de aneurismas cerebrales. (A)Incisión de piel de 45 cm semicurvada con base en punto frontocigomático,(B) Apertura dural y visualización de estructuras de base de cráneo, (C)Nervio óptico y bifurcación carotídea a mayor aumento. (D)Cierre de duramadre 

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OBJECTIVE: The pterional approach is the most common approach in vascular neurosurgery, but in recent years has been an increasing interest in minimally invasive surgery or keyhole surgery. We present preliminary results from the use of pterional keyhole approach in surgery for cerebral aneurysms performed in the Cayetano Heredia Hospital in 2009....

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