Orbitozygomatic Approach to Basilar Apex Aneurysms

Department

neurosurgery

Document Type

Article

Abstract

BASILAR APEX REGION aneurysms are among the most complex cerebral aneurysms. They are not, however, among the most common aneurysms, and increased use of endovascular treatment has further decreased the number of patients with these lesions who undergo surgery. Nonetheless, not all basilar apex aneurysms are amenable to coil embolization, and neurosurgeons must be prepared to treat patients with basilar apex aneurysms surgically. We prefer an orbitozygomatic craniotomy and transsylvian approach. Meticulous exercise of the basic tenets of aneurysm surgery (proximal vascular control, sharp dissection, and preservation of perforating vessels) is crucial to optimal patient outcomes.

Publication Date

2005

Publication Title

Neurosurgery

ISSN

0148-396X

Volume

56

Issue

1

First Page

S-172

Last Page

S-176

Digital Object Identifier (DOI)

10.1227/01.NEU.0000144317.44745.D1

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