Document Detail


Surgical management of unruptured basilar artery bifurcation aneurysms. Technical note.
MedLine Citation:
PMID:  15844875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The basilar artery (BA) bifurcation is the most common site for aneurysms arising from the posterior circulation. Their inhospitable location, nested within the narrow confines of the interpeduncular fossa anterior to the brainstem, coupled with the rich network of adjacent critical thalamoperforating arteries irrigating the midbrain and thalamus, pose difficult anatomical obstacles for the surgeon. The age old adage that the only cure for intracranial aneurysms remains exclusion from circulation before rupture still holds true. Although management of unruptured aneurysms in general is still controversial, unruptured aneurysms of the BA bifurcation can be treated surgically with acceptable rates of morbidity. The clinician must gather and weigh all clinical, pathological, and radiological data when formulating recommendations for the individual patient. In the present report the authors describe their current technique for the surgical management of unruptured BA bifurcation aneurysms; this represents the culmination of the senior author's (N.K.) experience in the management of both ruptured and unruptured BA bifurcation aneurysms. A modified, right-sided subtemporal transtentorial approach has been adopted in all cases of isolated unruptured BA bifurcation aneurysms. Technical nuances are described.
Authors:
Aaron S Dumont; Rod J Oskouian; Michael M Chow; Neal F Kassell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2002-09-15
Journal Detail:
Title:  Neurosurgical focus     Volume:  13     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2005-04-22     Completed Date:  2006-04-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e3     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA. asd2f@virginia.edu
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MeSH Terms
Descriptor/Qualifier:
Disease Management
Humans
Intracranial Aneurysm / pathology,  surgery*
Neurosurgical Procedures / instrumentation,  methods*

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