Minimally Invasive Parafascicular Surgery for Traumatic Intracranial Aneurysm

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Matthew B Hentschel, Riccardo Serra, Tina I. Wang, Jesse A. Stokum, Bizhan Aarabi, Jacob Cherian
DOI: 10.1055/s-0046-1819470
Cited by: 0

Abstract

Traumatic intracranial pseudoaneurysms are rare but deadly, often requiring surgical management due to high rupture risk and mortality. We present a case treated with minimally invasive parafascicular surgery (MIPS) using neuronavigation and a tubular retractor. Through a sulcal corridor, a distal MCA pseudoaneurysm was directly visualized and obliterated with bipolar cautery. Postoperative angiography confirmed complete obliteration, and the patient returned to baseline. This case highlights MIPS as a safe alternative for deep subcortical vascular lesions. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Intracranial Aneurysms: Treatment and Complications Traumatic Brain Injury and Neurovascular Disturbances Neurosurgical Procedures and Complications

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN