J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780422
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Combined Endovascular Embolization and Far Lateral Craniectomy for Microsurgical Trapping and Resection of Giant Thrombosed Vertebro-Basilar Aneurysm

Vincent N. Nguyen
1   University of Southern California, Los Angeles, California, United States
,
Mustafa Motiwala
2   University of Tennessee Health Science Center, Tennessee, United States
,
Daniel Hoit
2   University of Tennessee Health Science Center, Tennessee, United States
,
Lattimore M. Michael
2   University of Tennessee Health Science Center, Tennessee, United States
,
Adam S. Arthur
2   University of Tennessee Health Science Center, Tennessee, United States
,
Nickalus R. Khan
2   University of Tennessee Health Science Center, Tennessee, United States
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We describe the case of a 29-year-old male who presented with a giant, calcified, partially thrombosed vertebrobasilar aneurysm with significant brainstem compression. Endovascular embolization of the aneurysm's mural channel was performed for distal control, followed by a far lateral, retrosigmoid, and suboccipital craniectomy and C1 laminectomy for exposure and transection of bilateral vertebral arteries distal to PICA. Resection of the thrombosed portion of the aneurysm was performed with an ultrasonic aspirator to achieve brainstem decompression.


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Publication History

Article published online:
05 February 2024

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