Superior temporal gyrus approach

a) advantages: minimizes brain retraction, possible reduced vasospasm from manipulation of proximal vessels

b) disadvantages: proximal control difficult, slightly larger bone flap, possible increased risk of seizures 1)

1)
Heros RC, Ojemann RG, Crowell RM. Superior Temporal Gyrus Approach to Middle Cerebral Artery Aneurysms: Technique and Results. Neurosurgery. 1982; 10:308–313