Is the Mayfield Head Holder Obligatory for Intracranial Aneurysm Clipping?

Pediatric Neurosurgery
Zeferino DemartiniAlexandre Novicki Francisco

Abstract

Intracranial aneurysm surgery is commonly performed using pinned head holders, which pose a higher risk for the pediatric population. Several authors recommend avoiding the use of this device when it is not strictly necessary, and this is currently possible considering advances in anesthesiology and monitoring. As the literature on microsurgery without skull clamp use is scant, we report the case of a 15-year-old boy presenting with a subarachnoid hemorrhage after rupture of a middle cerebral artery aneurysm. Surgical treatment was performed with the head resting on a gel cushion horseshoe; aneurysm clipping was achieved without wakefulness or awareness and the patient had a good recovery.

References

Oct 1, 1984·Anesthesiology·W D BaertsG Broere
Jan 1, 1935·Annals of Surgery·W J Gardner
Mar 26, 2008·Journal of Neurosurgical Anesthesiology·Hemanshu PrabhakarHemant Bhagat
May 23, 2008·Neurosurgery·Cherisse BerryJ Gordon McComb
May 19, 2010·Journal of Neurosurgical Anesthesiology·Satyajeet MisraNilay Chatterjee
Nov 3, 2012·Neurosurgical Focus·Judith M WongAtul A Gawande
Nov 20, 2015·Anaesthesia·M R CheckettsUNKNOWN Association of Anaesthetists of Great Britain and Ireland
Dec 5, 2017·Anesthesia and Analgesia·Mohamed NaguibKen B Johnson

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