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Brain Mobilization and Protection

Last Updated: September 28, 2018

Dynamic Subfrontal Retraction and Minimal Brain Mobilization for Clip Ligation of an ACoA Aneurysm via Supraorbital Craniotomy and Eye-Brow Incision

Figure 1: The use of a fixed retractor blade (left) and dynamic retraction (using bipolar forceps and suction device, right) for a subfrontal trajectory and exposure of the optic nerve is compared. Dynamic retraction places the brain under less tension due to a more distributed retraction pressure.

Aneurysm surgery takes place around the basal cisterns, and therefore requires brain mobilization to facilitate a suitable...