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Updated: Jun 28, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Basilar artery aneurysm treated with coil embolization via persistent primitive hypoglossal artery
J R Bapuraj1, V Ojili, N Khandelwal
1Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India. jrajiv.bapuraj@gmail.com
Abstract:
A saccular aneurysm at the basilar artery bifurcation associated with a persistent primitive hypoglossal artery (PPHA) was successfully treated by endovascular occlusion with Guglielmi detachable coils. As both vertebral arteries were aplasitc, a microcatheter was advanced via PPHA. To the best of our knowledge, this is the first case report describing the treatment of a basilar top aneurysm through the PPHA.
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