抄録
A trans-cisternal approach, such as the anterior temporal and the anterior interhemispheric approach, is generally considered the standard and useful approach in surgery for a cerebral aneurysm. Although careful dissection of the perivascular arachnoid provides wide and safe operative fields in most cases, complications due to overdissection of the perivascular arachnoid have occurred in a few cases. We describe the problems and technical points of arachnoid dissection when using the trans-cisternal approach for cerebral aneurysms.
