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Anterior Temporal Approach and Clipping of a High-Riding Basilar Tip Aneurysm: Case Report and Review of the Surgical Technique

Basilar apex aneurysms constitute 5%–8% of all intracranial aneurysms. Microsurgical clipping of basilar tip aneurysms is still advocated for as it is safe, especially for unruptured basilar tip aneurysms which have a low risk of postoperative mortality or morbidity. Careful patient preparation is n...

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Detalles Bibliográficos
Autores principales: Musara, Aaron, Yamada, Yasuhiro, Takizawa, Katsumi, Seng, Liew Boon, Kawase, Tsukasa, Miyatani, Kyosuke, Tanaka, Rikki, Higashiguchi, Saeko, Kumar, Ambuj, Kutty, Raja Krishnan, Ravisankar, Vigneshwar, Kato, Yoko, Teranishi, Takao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896634/
https://www.ncbi.nlm.nih.gov/pubmed/31903379
http://dx.doi.org/10.4103/ajns.AJNS_121_19
Descripción
Sumario:Basilar apex aneurysms constitute 5%–8% of all intracranial aneurysms. Microsurgical clipping of basilar tip aneurysms is still advocated for as it is safe, especially for unruptured basilar tip aneurysms which have a low risk of postoperative mortality or morbidity. Careful patient preparation is needed preoperatively because the risk of intraoperative rupture is significant. Good surgical techniques should be applied. The skill will need to be preserved as endovascular surgery becomes more popular. This is a case of basilar tip aneurysm managed by clipping through the anterior temporal approach, followed by a review of the literature.