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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1283-1287
DOI: 10.4103/ajns.AJNS_121_19
Case Report

Anterior temporal approach and clipping of a high-riding basilar tip aneurysm: Case report and review of the surgical technique

Aaron Musara
Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare
,
Yasuhiro Yamada
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Katsumi Takizawa
2   Department of Neurosurgery, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido
,
Liew Seng
3   Department of Neurosurgery, Sungai Buloh Hospital, Sungai Buloh, Selangor
,
Tsukasa Kawase
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Kyosuke Miyatani
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Rikki Tanaka
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Saeko Higashiguchi
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Ambuj Kumar
4   Department of Neurosurgery, NSCB Government Medical College, Jabalpur, Madhya Pradesh
,
Raja Kutty
5   Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Vigneshwar Ravisankar
6   Department of Neurosurgery, MGM Healthcare, Chennai, Tamil Nadu
,
Yoko Kato
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
,
Takao Teranishi
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
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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.

Key-words:

Aneurysm clipping - aneurysm rupture - basilar artery aneurysm - posterior circulation

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. 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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