Medical Minute 3-19: Brain Surgery Through the Eyelids
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Posted: 4:12 PM Mar 19, 2009
Medical Minute 3-19: Brain Surgery Through the Eyelids
More than half-a-million people will have brain surgery this year. Large scars and lengthy recoveries typically go along with the surgery. Now doctors are using the eyes as the gateway to the brain to make surgery less invasive.
Reporter: Melissa Medalie
Email Address: news@wctv.tv
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"It has a tendency to swell a little bit."

Swelling aside, you'd never guess Mike Hogan had life-saving brain surgery just a few weeks ago.

"The doctor ordered a CAT scan. When they did the CAT scan, the aneurysm showed up," said Mike Hogan.

Doctors determined the aneurysm was in danger of rupturing. Hogan's surgeons used a new and unusual technique to treat it.

"When we do the standard procedure we make an incision behind the hairline, from here, all the way to here," said Khaled Aziz.

Instead, surgeons fixed the aneurysm through a tiny hole in his eyelid.
During the eyelid craniotomy, a neuro-opthamologist marks the eyelid crease then makes an incision and removes a small piece of bone from the patient's eye socket. Next a neurosurgeon reaches the front of the brain, clips the blood vessel that feeds the aneurysm and then puts the bone back in place. Doctors say a smaller incision means a shorter hospital stay, faster recovery and less pain.

"In the long run, I think this it's more helpful for the patient outcome rather than standard surgical approaches," said Aziz.

Mike has no scar, little pain, and more importantly, more time to watch his grandchildren grow up.

FOR MORE INFORMATION, PLEASE CONTACT: Dan LaurentRelationsPenn Allegheny Health System (412) 359-8602