Microneurosurgery for aneurysms of the basilar artery.

Abstract:

:The authors report microsurgical treatment in 32 cases of basilar artery aneurysms, operated on with good results in 28 cases, fair results in one, and poor results in one; there were two deaths. Twenty-nine patients (91%) were able to return to social activities. Characteristics of the surgical techniques include 1) taking a transsylvian route; 2) retracting the M1 portion of the middle cerebral artery (occasionally the C1 portion of the internal carotid) medially with tapered brain retractors; and 3) approaching the aneurysm through and between perforators arising from the posterior cerebral artery in cases of high-placed basilar bifurcation. With regard to instrument improvements, tapered brain retractors, a multipurpose head frame, and bayonet clips (Sugita design) proved very helpful.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Sugita K,Kobayashi S,Shintani A,Mutsuga N

doi

10.3171/jns.1979.51.5.0615

subject

Has Abstract

pub_date

1979-11-01 00:00:00

pages

615-20

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

51

pub_type

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