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December 9, 2025Brain SciencesOpen Access

Minimally Invasive Supraorbital vs. Traditional Pterional Approaches in Unruptured Aneurysm Surgery: Evaluating Risks and Results

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Authors

ABAnna BrunnerMedical University of GrazMRM. RainerUPUschi Pongratz

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Implication

Retrospective analysis reveals differing complications between supraorbital and pterional approaches in intracranial aneurysm surgery, indicating tailored interventions are critical.

Key Points

  • The aim is to compare the risks and outcomes of minimally invasive supraorbital and traditional pterional approaches in unruptured aneurysm surgery.
  • Retrospective analysis of 241 patients from 2004 to 2023 at University Hospital of Graz.
  • Patients underwent microsurgical clipping via the pterional or supraorbital approach based on aneurysm characteristics.
  • Evaluated data included demographics, aneurysm location and size, complications, and outcomes.
  • Higher intraoperative complications observed in the supraorbital group (26.8% vs. 8.8%).
  • Supraorbital approach associated with more postoperative hypo-/anosmia (8.5% vs. 1.8%).
  • Pterional approach more linked to temporalis muscle atrophy and chewing difficulties.
  • Hospital stay was shorter for patients in the supraorbital group (7.96 vs. 8.76 days).
  • No significant differences in 30-day mortality or long-term functional outcomes.

Cite This Study

Brunner et al. (2025) studied this question.

synapsesocial.com/papers/69401d732d562116f28f9408https://doi.org/10.3390/brainsci15121315
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Technology developments in endovascular treatment of intracranial aneurysms2014 · 75 citations
  2. 2Unruptured Supraclinoid Internal Carotid Artery Aneurysm Surgery : Superciliary Keyhole Approach versus Pterional Approach2012 · 33 citations