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A high-position basilar top aneurysm approached via third ventricle: case report
1Department of Neurosurgery, Istanbul University, School of Medicine, Turkey.
Surgical Neurology
|March 1, 1993
Summary
A novel subfrontal transventricular approach provides access to difficult-to-reach basilar tip aneurysms. This technique offers brain protection, especially when megadolichobasilar arteries are present.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Cerebrovascular Surgery
Background:
- High-position basilar tip aneurysms pose significant surgical challenges.
- Conventional pterional and subtemporal approaches may be insufficient for certain complex cases.
Observation:
- A subfrontal transventricular approach was utilized for a high-position basilar tip aneurysm.
- The aneurysm was deemed inaccessible via standard surgical routes.
Findings:
- The subfrontal transventricular approach successfully accessed the aneurysm.
- This technique is particularly advantageous in patients with coexisting megadolichobasilar arteries.
Implications:
- This approach offers a viable alternative for treating complex basilar tip aneurysms.
- It minimizes brain retraction, potentially reducing neurological injury and improving patient outcomes.