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Updated: Jun 8, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Neuroanatomy of the vertebrobasilar perforators: implications for aneurysm treatment
Eytan Raz1, Maksim Shapiro2, Erez Nossek2
1Department of Neurosurgery and Department of Radiology, NYU Langone Health, New York, New York, USA eytan.raz@gmail.com.
Abstract:
The anatomy of vertebrobasilar perforators has been widely studied in human cadavers, with most reports found in the neurosurgical literature. These arterial perforators are extremely hard to visualize consistently with traditional two-dimensional digital subtraction angiography, but are reliably visible with cross sectional cone beam CT techniques. A clear understanding of this specific neurovascular anatomy and pathology is essential for informed treatment decisions. This review analyzes the anatomy of vertebrobasilar perforators with a focus on practical implications for aneurysm treatment, particularly flow diversion.
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