2015, Number 2
<< Back Next >>
Rev Med MD 2015; 6.7 (2)
Aneurysm of the vertebra-basilar union, handling surgical via far lateral transcondilar approach
Velázquez-Torres JO, Ramírez-Castañeda V, Zambrano-Velarde LE, Aguirre-Carreño I, López-Elizalde R, Alcántara-Gómez A
Language: Spanish
References: 15
Page: 101-104
PDF size: 935.01 Kb.
ABSTRACT
The clipping of aneurysms of the basilar artery represents a surgical challenge for neurosurgeons due to the exposition
depth, space limitation by surrounding bone, ventral location of the neuroaxis and proximity to the brainstem. These
vascular lesions constitute a complicated task to perform with high morbidity and mortality rates. Advances in
microneurosurgery, neuroanesthesia, cerebral angiography, intensive care, intraoperative monitoring and new skull
base surgery techniques have dramatically reduced complications. We present the case of a female patient undergoing
surgical clipping of an aneurysm from the proximal basilar artery segment, in the vertebrobasilar junction using
extreme lateral approach.
REFERENCES
1.- Eustacchio S, Klein GE, Pendl G. Ruptured vertebrobasilar junction aneurysm associated with basilar artery fenestration. Acta Neurochir (Wien) 1997; 139:923-927
2.- Bentura Javier, Figueiredo Eberval, Monaco Bernardo, et al; Vertebrobasilar artery junction aneurysm associated with fenestration; Arq Neuropsiquiatr 2010;68(2):312-314
3.- Albanese E, Russo A, Ulm AJ. Fenestrated vertebrobasilar junction aneurysm: diagnostic and therapeutic considerations. J Neurosurg 2009;110:525-529.
4.- Gonzales-Portillo G, Coscarella E, Heros RC, Morcos JJ. Vertebrobasilar junction and vertebral artery aneurysm. In: Sekhar LN, Fessler RG, eds. Atlas of neurosurgical techniques. 1st ed. New York- Stuttgart: : Thieme, 2006, 181-92.
5.- L. Fernando González, Sepideh Amin-Hanjani, Nicholas C. Bambakidis, Robert F. Spetzler, Skull base approaches to the basilar artery; Neurosurg Focus 19 (2):E3, 2005
6.- Cherukuri Ravi Kumar, Prasad Vannemreddy, and Anil Nanda; Far-Lateral Approach for Lower Basilar Artery Aneurysms; Skull Base; Thieme Medical Publishers;2009 (19); 2:141-149
7.- D. Štimac, N. Koruga, L. N. Sekhar ; Vertebrobasilar junction aneurysm: Surgical Treatment via Far Lateral Transcondylar Approach; Neurol. Croat. Vol. 60, 1, 2011
8.- Cruz García O., López Flores G., Fernández Melo R., et al; Abordajes Extremo Lateral en lesiones del Agujero Magno; Rev. Mexicana Neurocirugía; 2006, 7 (2), 120-126
9.- Civan Islak, Naci Kocer, Fatih Kantarci, Isil Saatci, Omer Uzma, and Bulent Canbaz Endovascular Management of Basilar Arter y Aneur ysms Associated with Fenestrations; AJNR Am J Neuroradiol 23:, June/July 2002, 958–964
10.- Hamilton MG, Spetzler RF. Surgical management of midbasilar and lower basilar aneurysms. In: Schmidek HH, ed. Operative Neurosurgical Techniques: Indications, Methods, and Techniques. 4th ed. Philadelphia,PA: W.B. Saunders Company; 2000:1247–1260
11.- Rhoton AL. : The far-lateral approach and its trans condylar, supracondylar, and paracondylar extensions. Neurosurgery 2000; 47 suppl 1:195-209.
12.- Drake CG. The surgical treatment of vertebral basilar aneurysms. Clin Neurosurg 1969;16:114–169
13.- Hernesniemi J, Vapalahti M, Niskanen M, Kari A. Management outcome for vertebrobasilar artery aneurysms by early surgery. Neurosurgery 1992;31: 857–862
14.- Ziyal IM, Salas E, Sekhar LN. : The surgical anatomy of six variations of extreme lateral approach; Turk Neurosurg 1999; 9: 105-12.
15.- Nader Sanai, Alim Mitha, Robert F. Spetzler. 2012. Surgical Management of Midbasilar and Lower Basilar Aneur ysms. Schmidek and Sweet's Operative Neurosurgical Techniques 925- 936.