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Anterior Temporal Approach and Clipping of a High-Riding Basilar Tip Aneurysm: Case Report and Review of the Surgical Technique

Musara A 1 , Yamada Y 2 , Takizawa K 3 , Seng LB 4 , Kawase T 2 , Miyatani K 2 Show all authors , Tanaka R 2 , Higashiguchi S 2 , Kumar A 5 , Kutty RK 6 , Ravisankar V 7 , Kato Y 2 , Teranishi T 2

Affiliations 

  • 1 Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe
  • 2 Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi, Japan
  • 3 Department of Neurosurgery, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido, Japan
  • 4 Department of Neurosurgery, Sungai Buloh Hospital, Sungai Buloh, Selangor, Malaysia
  • 5 Department of Neurosurgery, NSCB Government Medical College, Jabalpur, Madhya Pradesh, India
  • 6 Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India
  • 7 Department of Neurosurgery, MGM Healthcare, Chennai, Tamil Nadu, India
Asian J Neurosurg, 2019 11 25;14(4):1283-1287.
PMID: 31903379 DOI: 10.4103/ajns.AJNS_121_19

Abstract

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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