Erschienen in:
28.06.2019 | How I Do it - Vascular Neurosurgery - Aneurysm
Clipping of a PICA aneurysm located on the contralateral side of its parent vertebral artery in front of the brainstem: how I do it
verfasst von:
Michel W. Bojanowski, Pascale Lavoie, Elsa Magro
Erschienen in:
Acta Neurochirurgica
|
Ausgabe 8/2019
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Abstract
Background
Vertebro-PICA aneurysms may be challenging because of their relationship with the brainstem and the lower cranial nerves, especially when the vertebral artery is tortuous and the aneurysm is located in front of the brainstem, contralaterally to the parent vertebral artery. We describe the surgical technique for safe approach.
Method
Cadaveric dissection performed by the authors, provided comprehensive understanding of relevant anatomy. Intraoperative photos and videos show clipping of the aneurysm using a combined midline and far-lateral suboccipital craniotomy with a para-condylar extension. The literature reviews potential complications.
Conclusion
This combined approach allows safe clipping of such PICA aneurysms.