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Updated: Aug 4, 2025

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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Craniovertebral junction aneurysms.
Gurdal Orhan1, Azad Malikov2, Orkhan Hajiyev3
1Department of Neurology, Ankara City Hospital, Ankara, Turkey.
Clinical Neurology and Neurosurgery
|April 1, 2023
Summary
This study investigates craniovertebral junction vertebral artery (CJVA) aneurysms, finding trauma is a key factor. Endovascular flow diverters are effective for treating these aneurysms.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Radiology
Background:
- The vertebral artery's proximity to craniovertebral junction (C0-1-2) structures makes it susceptible to mechanical trauma.
- Understanding the biomechanics of aneurysm formation at this junction is crucial for effective treatment.
Conclusions:
- This series establishes the association between vertebral artery aneurysms, hemodynamics, and trauma at the craniovertebral junction.
- Segmental distribution of CJVA aneurysms differs significantly between traumatic and spontaneous cases.
- Endovascular treatment with flow diverters should be the primary approach for CJVA aneurysms.
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