Basilar artery aneurysm is usually treated with intravenous (in the vein) or intra-arterial (in the artery) thrombolysis, which uses drugs to break down clots in the body. Epub 2015 Jun 18. Figure 16.3a shows the aneurysm at the tip of the basilar artery coming into view between the retracted right internal carotid artery and the oculomotor nerve. 2014 Aug;28(4):483-7. doi: 10.3109/02688697.2013.857007. Neurosurgery. Because of the technical difficulties with microsurgery, endovascular therapy has largely replaced microsurgical clipping for the treatment of basilar apex aneurysm in aneurysm … Discussion. Background: Basilar tip (BT) aneurysms are challenging to treat with microsurgical clipping, especially in subarachnoid hemorrhage cases. Don't already have an Oxford Academic account? Clinical Pearls and Methods for Intraoperative Motor Mapping, Neuropathology of Pituitary Adenomas and Sellar Lesions, Commentary: Predicting Discharge Disposition Following Meningioma Resection Using a Multi-Institutional Natural Language Processing Model, https://doi.org/10.1227/NEU.0b013e3182797952, Receive exclusive offers and updates from Oxford Academic, Deep Arteriovenous Malformations in the Basal Ganglia, Thalamus, and Insula: Microsurgical Management, Techniques, and Results, Endovascular Advances for Intracranial Occlusive Disease, Clinical Experience and Results of Microsurgical Resection of Arterioveonous Malformation in the Presence of Space-Occupying Intracerebral Hematoma, The Superior Cerebellar Artery Aneurysm: A Posterior Circulation Aneurysm with Favorable Microsurgical Outcomes. Eleven (17.4%) patients required re-treatment, and 3 (4.4%) patients were re-treated more than twice. In the ruptured coiling group, 69.5% achieved a Raymond 1 radiographic outcome, 28% Raymond 2, and 2.5% Raymond 3. Musara A, Yamada Y, Takizawa K, Seng LB, Kawase T, Miyatani K, Tanaka R, Higashiguchi S, Kumar A, Kutty RK, Ravisankar V, Kato Y, Teranishi T. Asian J Neurosurg. Does neck circumference predict obstructive sleep apnea in children with obesity? Neurosurgeons have long considered basilar tip aneurysms to be the most difficult vascular lesion to surgically treat. Surg Neurol Int. Basilar artery aneurysm, which represents about 3-5% of all intracranial aneurysms,4 can lead to headaches, disruptions in vision, nausea, vomiting, and loss of consciousness. Conclusion:  |  Should we still consider clips for basilar apex aneurysms? Patients in the coiled group had higher dome-to-neck (1.3 vs 1.1) (P = .01) and aspect ratios (1.6 vs 1.2) (P = .007). aneurysm of carotid artery (I72.0); aneurysm of vertebral artery (I72.6); dissection of carotid artery (I77.71); dissection of other precerebral arteries (I77.75); dissection of vertebral artery (I77.74); Aneurysm of basilar … Sekhar LN, Tariq F, Morton RP, Ghodke B, Hallam DK, Barber J, et al. If you originally registered with a username please use that to sign in. You could not be signed in. This article is also available for rental through DeepDyve. 2008 Jun;62(6):1187-202; discussion 1202-3. doi: 10.1227/01.neu.0000333291.67362.0b. Pediatric aneurysms contribute 0.6-4% of all cerebral aneurysms[1,2] with a male preponderance and commonly being in the posterior circulation.The pathophysiology of the aneurysms in children remains unclear. Basilar bifurcation aneurysms account for 5% to 8% of all intracranial aneurysms26). Depending on the location of the issue, this condition leads to an extremely painful, “thunderclap” headache.5 Another major issue that can arise here is basilar artery thrombosis, in whic… Fifty five basilar tip aneurysms were demonstrated. Microsurgery is still appropriate for aneurysms … Basilar-tip aneurysm is the most common aneurysm found in the posterior fossa circulation, representing 5–8% of the total intracranial aneurysms , , , .Given the literature findings of (i) higher bleeding tendency in the posterior circulation aneurysm and (ii) worse post-rupture clinical outcome, the treatment of these aneurysms … 1 doctor agrees 1 Send thanks to the doctor In our current management of basilar tip aneurysms, the majority can be treated via endovascular means, albeit with the expectation of a higher percentage of residual lesions and recurrences. Clipping a ruptured basilar tip aneurysm through a right pterional craniotomy with an OZ muscle cut. 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