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Updated: May 25, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Microsurgery treatment with aneurysm on the top of basilar artery]
Zhi-qiang Li1, Xiang-en Shi, Jun Yang
1Department of Neurosurgery, Capital Medical University, Beijing, China.
Objective:
To explore the efficacy and method of microsurgery for aneurysm on the top of basilar artery.
Methods:
The investigators analyzed retrospectively the clinical data of 8 microsurgical patients with aneurysm on the top of basilar artery from May 2007 to September 2010. There were 5 males and 3 females with an average age of 52.6 years old. Six of 8 cases underwent clipping of aneurysm while other 2 patients received superficial temporal artery-radial artery-posterior cerebral artery bypass grafting surgery and clipping of aneurysm.
Results:
On the basis of GOS (Glasgow outcome score), the postoperative recovery was excellent in 7 patients. And 1 patient suffered insufficiency of oculomotor nerve similarly as preoperatively.
Conclusion:
The surgical procedures for aneurysm of basilar artery are so complicated as to lead to many complications. A wise choice of operative approaches may yield a better outcome.

