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Journal of Neurosurgical Sciences 1998 September;42(3):145-9

language: English

Subtemporal sub­oc­cip­i­tal trans­pe­tro­sal trans­sig­moid­al ­approach to aneu­rysm of the bas­i­lar ­artery fen­es­tra­tion

Scamoni C. 1, Dario A. 1, Spriano G. 2, Basile L. 1, Dorizzi A. 1

1 Department of Neurosurgery, Varese Regional Hospital and Macchi Foundation, Varese, Italy;
2 Department of Otorhinolaryngology, Varese Regional Hospital and Macchi Foundation, Varese, Italy


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The aneu­rysm aris­ing from the lower third of a bas­i­lar ­artery fen­es­tra­tion is a rare event. The tra­di­tion­al sub­oc­cip­i­tal or sub­ten­to­ri­al trans­ten­to­ri­al or trans­oral ­approach to this vas­cu­lar mal­for­ma­tion can be prob­le­mat­ic. We ­report the case of a 52-year-old woman who suf­fered a Grade 4 sub­arach­noid hem­or­rhage from an aneu­rysm locat­ed at a fen­es­tra­tion of the prox­i­mal third of the bas­i­lar ­artery. This aneu­rysm was suc­cess­ful­ly ­clipped ­through a left sub­tem­po­ral sub­oc­cip­i­tal trans­lab­y­rin­thine trans­sig­moid­al ­approach. In the aneu­rysms of the prox­i­mal third of the bas­i­lar ­artery the trans­pe­tro­sal ­approach with its var­i­ants (trans­lab­y­rin­thine and trans­sig­moid­al) relat­ed to ­patient’s clin­i­cal con­di­tion can be use­ful with undoubt­ed advan­tag­es.

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