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Abstract

Background: Basilar tip aneurysms are one of the most complex vascular lesions to treat surgically because of their location, depth of the approach, and close proximity of vital neurovascular structures such as the mesencephalon, cranial nerves, perforating arteries to the thalamus. There are different surgical approaches utilized to reach basilar tip aneurysms, namely, pterional, pretemporal, orbitozygomatic, subtemporal, and anterior petrosectomy. Each of them has its advantages and limitations. Methods: In this paper, we present our personal experience with the use of subtemporal approach. The technique is described in detail including its nuances and potential pitfalls. Results: The subtemporal approach is indicated for basilar tip aneurysms located at the level of the floor of the sella turcica to 1 cm above the dorsum sellae. Conclusion: Subtemporal approach offers good surgical corridor for the management of these complex vascular lesions.

Details

Title
Technical nuances of subtemporal approach for the treatment of basilar tip aneurysm
Author
Nakov, Vladimir; Spiriev, Toma; Todorov, Ivan; Simeonov, Plamen
Publication year
2017
Publication date
2017
Publisher
Scientific Scholar
ISSN
21527806
e-ISSN
22295097
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1936192313
Copyright
Copyright Medknow Publications & Media Pvt. Ltd. 2017