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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(02): 272-277
DOI: 10.4103/ajns.AJNS_76_16
Review Article

Surgical approaches to basilar apex aneurysms: An illustrative review

Jiangbo Li
Department of Neurosurgery, Affiliated Peace Hospital of Changzhi Medical College, Changzhi
,
Amir Azarhomayoun
1   Division of Cerebrovascular Surgery, Gundishapour Academy of Neuroscience, Ahvaz
,
Mohsen Nouri
1   Division of Cerebrovascular Surgery, Gundishapour Academy of Neuroscience, Ahvaz
2   Stone Lion Neuro Clinic, Jamaica Hospital Medical Center, New York, USA
,
Ittichai Sakarunchai
3   Department of Surgery, Division of Neurosurgery, Prince of Songkla University, Songkhla
,
Yasuhiro Yamada
4   Department of Neurosurgery, Fujita Banbuntane Stroke Center, Banbuntane Hospital, Fujita Health University, Aichi
,
Kei Yamashiro
4   Department of Neurosurgery, Fujita Banbuntane Stroke Center, Banbuntane Hospital, Fujita Health University, Aichi
,
Yoko Kato
4   Department of Neurosurgery, Fujita Banbuntane Stroke Center, Banbuntane Hospital, Fujita Health University, Aichi
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Surgical management of basilar apex aneurysms remains one of the most challenging areas in neurovascular surgery. Technical demands of treating these aneurysms have inspired several generations of neurosurgeons to push the limitations of technical achievement. Advances in neuroanesthesia, cerebral protection paradigms, and critical care management have enhanced surgical outcomes of these lesions. Several approaches have been described to reach these lesions from anterolateral or lateral corridors. Each surgical approach has its own advantages and limitations and should be chosen for each patient according to the aneurysm's position, projection, parent arteries, and perforators. In this review, we will discuss pros and cons of the common approaches to these aneurysms with description of the important steps of each surgical procedure.

Key-words:

Aneurysm - basilar apex - clipping - microsurgery

Financial support and sponsorship

Nil.




Publication History

Received: 20 February 2016

Accepted: 23 March 2017

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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