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Aneurysm of persistent primitive hypoglossal artery
1Department of Neurosurgery, Hamamatsu University School of Medicine, Japan.
British Journal of Neurosurgery
|March 15, 2000
Summary
A ruptured aneurysm in a rare persistent primitive hypoglossal artery was successfully clipped using a far lateral approach. This surgical technique, involving jugular tubercle drilling, is recommended for safe and complete aneurysm clipping.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Cerebrovascular Anatomy
Background:
- Ruptured intracranial aneurysms pose significant risks.
- Persistent primitive hypoglossal artery aneurysms are uncommon vascular malformations.
- The far lateral approach offers a direct route to certain posterior circulation aneurysms.
Observation:
- A case report detailing a patient with a ruptured aneurysm originating from the right persistent primitive hypoglossal artery.
- The aneurysm required surgical intervention for definitive treatment.
- The surgical team opted for a far lateral approach to access the aneurysm.
Findings:
- Successful clipping of the aneurysmal neck was achieved.
- The procedure involved drilling of the jugular tubercle to facilitate surgical access.
- This specific surgical corridor provided adequate visualization and maneuverability.
Implications:
- The far lateral approach, combined with jugular tubercle drilling, is a viable and effective strategy for managing persistent primitive hypoglossal artery aneurysms.
- This approach ensures safe and complete clipping of complex intracranial aneurysms.
- Highlights the importance of tailored surgical techniques for rare cerebrovascular pathologies.