Document Detail

Subtemporal suboccipital transpetrosal transsigmoidal approach to aneurysm of the basilar artery fenestration.
MedLine Citation:
PMID:  10192055     Owner:  NLM     Status:  MEDLINE    
The aneurysm arising from the lower third of a basilar artery fenestration is a rare event. The traditional suboccipital or subtentorial transtentorial or transoral approach to this vascular malformation can be problematic. We report the case of a 52-year-old woman who suffered a Grade 4 subarachnoid hemorrhage from an aneurysm located at a fenestration of the proximal third of the basilar artery. This aneurysm was successfully clipped through a left subtemporal suboccipital translabyrinthine transsigmoidal approach. In the aneurysms of the proximal third of the basilar artery the transpetrosal approach with its variants (translabyrinthine and transsigmoidal) related to patient's clinical condition can be useful with undoubted advantages.
C Scamoni; A Dario; G Spriano; L Basile; A Dorizzi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  42     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1999-06-03     Completed Date:  1999-06-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  145-9; discussion 149-51     Citation Subset:  IM    
Department of Neurosurgery, Varese Regional Hospital, Italy.
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MeSH Terms
Basilar Artery / radiography,  surgery*
Cerebral Angiography
Intracranial Aneurysm / complications,  radiography,  surgery*
Middle Aged
Neurosurgery / methods*
Subarachnoid Hemorrhage / etiology
Treatment Outcome

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