Microsurgical treatment of basilar tip aneurysms: is it still acceptable?

Abstract:

OBJECTIVE:Basilar tip aneurysms (BTAs) have a complex anatomy, making them difficult to treat. We describe our surgical results for BTAs. METHODS:From 2004 to 2015 (12 years), a total of 25 small BTAs and two giant BTAs were treated in the Hospital do Servidor Público Estadual de São Paulo. RESULTS:In 23 patients harboring aneurysms positioned anteriorly or straight, all aneurysms were clipped (complete exclusion in all on follow-up angiography). In two patients with posteriorly positioned aneurysms, there was residual neck. All patients submitted to surgical treatment of small aneurysms presented with late Glasgow Outcome Scale scores of 4 or 5. Two patients with giant aneurysms died. CONCLUSION:Surgical treatment of these lesions may be accomplished with quite high success rates and low morbidity.

journal_name

Arq Neuropsiquiatr

authors

Pahl FH,Oliveira MF,Rotta JM

doi

10.1590/0004-282x20170120

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

697-702

issue

10

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2017001000697

journal_volume

75

pub_type

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