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A transcavernous-transsellar approach to the basilar tip aneurysms
V V Dolenc1, M Skrap, J Sustersic
1University Department of Neurosurgery, University Medical Centre, Ljubljana, Yugoslavia.
British Journal of Neurosurgery
|January 1, 1987
Summary
A modified surgical approach for basilar tip aneurysms, including large ones, resulted in good outcomes. This technique facilitated clipping and complete aneurysm exclusion in 11 patients.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Basilar tip aneurysms are a significant cause of subarachnoid hemorrhage.
- Ruptured aneurysms present a high risk of rebleeding and neurological deficits.
Purpose of the Study:
- To present a modified surgical approach for basilar tip aneurysms.
- To evaluate the efficacy and safety of this technique in a series of patients.
Main Methods:
- A modified pterional transcavernous-transsellar approach was utilized in 11 patients with ruptured basilar tip aneurysms.
- This approach facilitates surgical access to the basilar artery bifurcation and surrounding vessels.
- Minimal brain retraction was employed to minimize surgical trauma.
Main Results:
- Complete exclusion of the aneurysm was achieved in all 11 patients.
- Eight patients experienced a complete recovery and returned to their previous occupations.
- One patient had hemiparesis, one had hemiplegia, and one patient died postoperatively.
Conclusions:
- The modified pterional transcavernous-transsellar approach offers excellent exposure for basilar tip aneurysm clipping.
- This technique allows for safe and effective exclusion of both small and large basilar tip aneurysms.
- The approach contributes to favorable patient outcomes and reduced neurological morbidity.