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Saccular aneurysm associated with proximal basilar artery fenestration. Case report
G Crivelli1, M Bianchi, A Dario
1Neurosurgical Division, Varese Regional Hospital, Italy.
Journal of Neurosurgical Sciences
|March 1, 1993
Summary
Surgical management of aneurysms at the vertebrobasilar junction or proximal basilar artery is challenging. This case demonstrates successful clipping of such an aneurysm using a right subtemporal transtentorial approach.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Cerebrovascular Surgery
Background:
- Aneurysms originating from arterial fenestrations at the vertebrobasilar junction or proximal basilar artery present unique surgical challenges.
- Effective surgical strategies for these specific aneurysm locations are crucial for patient outcomes.
Observation:
- A case involving an aneurysm arising from a limb of an arterial fenestration at the vertebrobasilar junction was encountered.
- The aneurysm was located in the proximal third of the basilar artery.
Findings:
- The aneurysm was successfully managed and clipped.
- A right subtemporal transtentorial approach was utilized for the surgical intervention.
Implications:
- This approach offers a viable solution for managing complex vertebrobasilar junction aneurysms.
- Successful surgical clipping via this approach may improve treatment options for similar challenging cerebrovascular cases.