Intracranial Aneurysm Clinical Trial
Official title:
Prospective Randomized Study Comparing Clinical, Functional and Aesthetics Results of "Classical" Pterional and Minipterional Craniotomies.
This randomized prospective study was designed to compare the clinical, functional and aesthetic results of two surgical techniques for microsurgical clipping of anterior circulation aneurysms
This randomized prospective study was designed to compare the clinical, functional and
aesthetic results of two surgical techniques for microsurgical clipping of anterior
circulation aneurysms. Overall, 60 eligible patients admitted with ruptured and unruptured
anterior circulation aneurysms will enrolled in the study.
The aesthetic results will be analyzed with 2 methods. In the first, the patients will be
showed to a rule, with a scale from 0 to 100, in which 0 mean the best result and 100 the
worst result. Photos will be taken and showed to two independent observers, the results will
be classified as excellent, good, regular or poor. The degree of atrophy will be measured
with three methods. In the first one, the authors wiil observes the percentage of thick
reduction in the temporal muscle, subcutaneous tissue and skin. In the second method the
percentage thick reduction of the isolated temporal muscle will be measured and the third
the volumetric analysis of the temporal muscle, subcutaneous tissue and skin will be
calculated from the superior edge of zygomatic arch to superior temporal line. The
functional results wiil be compared using the Modified Rankin Score. Others variables such
frontal facial palsy, post-operative hemorrhage, cerebrospinal fistulas, hydrocephalus and
mortality will be also analyzed
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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