Basilar bifurcation aneurysm. Report of an operated case with 83 years old

Guillermo Pardo Camacho; Sergio Diego Vega Basulto; Fredy Guillermo Gutiérrez Muñoz; Ariel Varela Hernández; Héctor León Roura; Miguel Domínguez Nápoles; Alfredo Guerra González; José Antonio Pozo Romero

2006, Number 3

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Rev Mex Neuroci 2006; 7 (3)

Basilar bifurcation aneurysm. Report of an operated case with 83 years old

Pardo CG, Vega BSD, Gutiérrez MFG, Varela HA, León RH, Domínguez NM, Guerra GA, Pozo RJA

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Language: Spanish
References: 19
Page: 249-253
PDF size: 140.33 Kb.

ABSTRACT

Introduction: Half of the aneurysms of the posterior circulation are of the basilar artery bifurcation, being considered one of the most challenging operations in neurosurgery. Clinical case: An eighty-three year-old female with antecedents of systemic arterial hypertension, had an intense universal headache associated to right palpebral ptosis. Angiography and computed tomographic angiography studies showed a small aneurysm in the basilar bifurcation and after family petition, it was determined to treat surgically through a pterional transilvian approach and direct aneurysm clipping. The postoperative outcome was satisfactory with disappearance of the third cranial nerve palsy. Conclusion: Keeping in mind our population’s current situation we conclude that operations of posterior circulation aneurysms are a good option in patients of the ninth decade of life.

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