Vladimir Nakov1, Toma Spiriev2, Evgeni Stavrev3. 1. Department of Neurosurgery Acibadem City Clinic Tokuda Hospital, "Nikola Vaptsarov" Blvd. 51b, 1407, Sofia, Bulgaria. 2. Department of Neurosurgery Acibadem City Clinic Tokuda Hospital, "Nikola Vaptsarov" Blvd. 51b, 1407, Sofia, Bulgaria. spiriev@gmail.com. 3. Department of Neurosurgery Military Medical Academy, "Georgi Sofiiski str. No 3", 1606, Sofia, Bulgaria.
Abstract
BACKGROUND: Vertebrobasilar junction aneurysms occur rarely, but have a higher rupture rate than supratentoral aneurysms, and higher morbidity and mortality. Their location ventral to the neuroaxis makes them a challenging surgical lesion. METHODS: In this paper, we share our experience with the surgical technique for the management of these complex aneurysms. CONCLUSION: An in-depth understanding of the anatomy of these aneurysms, careful preoperative planning, and a meticulous surgical technique, including knowledge of every detail of the procedure-positioning, an advanced skull base technique, and careful aneurysm dissection and clipping-is essential for a successful outcome of the surgery.
BACKGROUND: Vertebrobasilar junction aneurysms occur rarely, but have a higher rupture rate than supratentoral aneurysms, and higher morbidity and mortality. Their location ventral to the neuroaxis makes them a challenging surgical lesion. METHODS: In this paper, we share our experience with the surgical technique for the management of these complex aneurysms. CONCLUSION: An in-depth understanding of the anatomy of these aneurysms, careful preoperative planning, and a meticulous surgical technique, including knowledge of every detail of the procedure-positioning, an advanced skull base technique, and careful aneurysm dissection and clipping-is essential for a successful outcome of the surgery.
Authors: M Collice; O Arena; G D'Aliberti; C Todaro; V Branca; E Boccardi; P P Versari; L Bizzozero; G Talamonti Journal: Acta Neurochir (Wien) Date: 1997 Impact factor: 2.216