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REVIEW ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 2  |  Page : 272-277

Surgical approaches to basilar apex aneurysms: An illustrative review


1 Department of Neurosurgery, Affiliated Peace Hospital of Changzhi Medical College, Changzhi, Republic of China
2 Division of Cerebrovascular Surgery, Gundishapour Academy of Neuroscience, Ahvaz, Iran
3 Division of Cerebrovascular Surgery, Gundishapour Academy of Neuroscience, Ahvaz, Iran; Stone Lion Neuro Clinic, Jamaica Hospital Medical Center, New York, USA
4 Department of Surgery, Division of Neurosurgery, Prince of Songkla University, Songkhla, Thailand
5 Department of Neurosurgery, Fujita Banbuntane Stroke Center, Banbuntane Hospital, Fujita Health University, Aichi, Japan

Correspondence Address:
Prof. Yoko Kato
Department of Neurosurgery, Fujita Banbuntane Stroke Center, Banbuntane Hotokukai Hospital, Fujita Health University, Aichi
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_76_16

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Surgical management of basilar apex aneurysms remains one of the most challenging areas in neurovascular surgery. Technical demands of treating these aneurysms have inspired several generations of neurosurgeons to push the limitations of technical achievement. Advances in neuroanesthesia, cerebral protection paradigms, and critical care management have enhanced surgical outcomes of these lesions. Several approaches have been described to reach these lesions from anterolateral or lateral corridors. Each surgical approach has its own advantages and limitations and should be chosen for each patient according to the aneurysm's position, projection, parent arteries, and perforators. In this review, we will discuss pros and cons of the common approaches to these aneurysms with description of the important steps of each surgical procedure.


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