Open AccessAnterior temporal approach and clipping of a high-riding basilar tip aneurysm: Case report and review of the surgical technique
Author(s) -
Aaron Musara,
Yoshihiko Yamada,
Kazuyasu Takizawa,
B S Liew,
Tsukasa Kawase,
Kyosuke Miyatani,
Rikki Tanaka,
Saeko Higashiguchi,
Amit Kumar,
Raja K Kutty,
Vigneshwar Ravisankar,
Yōkō Kato,
Takao Teranishi
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_121_19
Subject(s) - clipping (morphology) , medicine , aneurysm , surgery , philosophy , linguistics
Basilar apex aneurysms constitute 5%-8% of all intracranial aneurysms. Microsurgical clipping of basilar tip aneurysms is still advocated for as it is safe, especially for unruptured basilar tip aneurysms which have a low risk of postoperative mortality or morbidity. Careful patient preparation is needed preoperatively because the risk of intraoperative rupture is significant. Good surgical techniques should be applied. The skill will need to be preserved as endovascular surgery becomes more popular. This is a case of basilar tip aneurysm managed by clipping through the anterior temporal approach, followed by a review of the literature.