Institutional experience using the endoscopic endonasal approach for the treatment of 40 intracranial aneurysms: indications, outcomes, and technical considerations
The ventral surgical corridor afforded by EEA is a valuable option for the surgical treatment of carefully selected paraclinoid internal carotid artery and posterior circulation aneurysms arising medial to the cranial nerves, particularly when endovascular options are restricted. EEA may result in decreased morbidity related to cranial nerve deficits and parenchymal injury compared with lateral approaches. However, CSF leaks remain the main limitation, especially after subarachnoid hemorrhage.
Authors
- Maria Karampouga (ORCID: https://orcid.org/0000-0001-7737-1422)
- Garret W. Choby (ORCID: https://orcid.org/0000-0002-3745-2727)
- Carl Henry Snyderman (ORCID: https://orcid.org/0000-0002-8920-4522)
- Georgios Andrea Zenonos (ORCID: https://orcid.org/0000-0001-9532-4160)
- Ali Alattar (ORCID: https://orcid.org/0000-0002-3526-7624)
- Alhamza R Al‐Bayati (ORCID: https://orcid.org/0000-0001-8103-1930)
- Bradley A. Gross (ORCID: https://orcid.org/0000-0002-6999-7967)
- Eric W. Wang (ORCID: https://orcid.org/0000-0002-1180-5854)
- Paul A. Gardner (ORCID: https://orcid.org/0000-0002-1594-1722)
Institutions
- University of Pittsburgh Medical Center (US)
- Neurological Surgery (US)
- Neurology, Inc (US)
Publication Details
- Journal
- Journal of neurosurgery
- Published
- 2025-08-30
- DOI
- https://doi.org/10.3171/2025.4.jns242716
- Citations
- 2
- Primary Topic
- Meningioma and schwannoma management
- Type
- article
- Field-Weighted Citation Impact
- 2.71