Anterior temporal approach and clipping of a high-riding basilar tip aneurysm: Case report and review of the surgical technique

Aaron Musara; Yasuhiro Yamada; Katsumi Takizawa; Liew Seng; Tsukasa Kawase; Kyosuke Miyatani; Rikki Tanaka; Saeko Higashiguchi; Ambuj Kumar; Raja Kutty; Vigneshwar Ravisankar; Yoko Kato; Takao Teranishi

doi:10.4103/ajns.AJNS_121_19

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1283-1287
DOI: 10.4103/ajns.AJNS_121_19

Case Report

Anterior temporal approach and clipping of a high-riding basilar tip aneurysm: Case report and review of the surgical technique

Autor*innen

Aaron Musara

Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare
Yasuhiro Yamada

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Katsumi Takizawa

²Department of Neurosurgery, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido
Liew Seng

³Department of Neurosurgery, Sungai Buloh Hospital, Sungai Buloh, Selangor
Tsukasa Kawase

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Kyosuke Miyatani

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Rikki Tanaka

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Saeko Higashiguchi

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Ambuj Kumar

⁴Department of Neurosurgery, NSCB Government Medical College, Jabalpur, Madhya Pradesh
Raja Kutty

⁵Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
Vigneshwar Ravisankar

⁶Department of Neurosurgery, MGM Healthcare, Chennai, Tamil Nadu
Yoko Kato

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi
Takao Teranishi

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi

Abstract

Basilar apex aneurysms constitute 5%–8% of all intracranial aneurysms. Microsurgical clipping of basilar tip aneurysms is still advocated for as it is safe, especially for unruptured basilar tip aneurysms which have a low risk of postoperative mortality or morbidity. Careful patient preparation is needed preoperatively because the risk of intraoperative rupture is significant. Good surgical techniques should be applied. The skill will need to be preserved as endovascular surgery becomes more popular.This is a case of basilar tip aneurysm managed by clipping through the anterior temporal approach, followed by a review of the literature.

Key-words:

Aneurysm clipping - aneurysm rupture - basilar artery aneurysm - posterior circulation

Volltext

Referenzen

References
1 Nakov VS, Spiriev TY, Todorov IT, Simeonov P. Technical nuances of subtemporal approach for the treatment of basilar tip aneurysm. Surg Neurol Int 2017;8:15.
2 Granados OS, da Costa MD, Costa BL, González-Echeverría K, Paganelli SL, Caramanti RL, et al. Microsurgery for upper basilar tip aneurysm with intraoperative rupture: 3-dimensional operative video. Oper Neurosurg (Hagerstown) 2019;16:43.
3 Seng LB, Yamada Y, Rajagopal N, Mohammad AA, Teranishi T, Miyatani K, et al. Multimodality techniques in microsurgical clipping as the gold standard treatment in the management of basilar tip aneurysm: A case series. Asian J Neurosurg 2018;13:1148-57.
4 Tjahjadi M, Serrone J, Hernesniemi J. Should we still consider clips for basilar apex aneurysms? A critical appraisal of the literature. Surg Neurol Int 2018;9:44.
5 Krisht AF, Krayenbühl N, Sercl D, Bikmaz K, Kadri PA. Results of microsurgical clipping of 50 high complexity basilar apex aneurysms. Neurosurgery 2007;60:242-50.
6 Rahme R, Kurbanov A, Keller JT, Abruzzo TA, Jimenez L, Ringer AJ, et al. The interlenticulostriate approach to very high-riding distal basilar trunk aneurysms. Oper Neurosurg (Hagerstown) 2017;13:338-44.
7 Cerebral Aneurysms Fact Sheet | National Institute of Neurological Disorders and Stroke. Available from: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. [Last accessed on 2019 Mar 31].
8 Doddasomayajula R, Chung B, Hamzei-Sichani F, Putman CM, Cebral JR. Differences in hemodynamics and rupture rate of aneurysms at the bifurcation of the basilar and internal carotid arteries. AJNR Am J Neuroradiol 2017;38:570-6.
9 Scalzo F, Liebeskind DS. Perfusion angiography in acute ischemic stroke. Comput Math Methods Med 2016;2016:2478324.
10 Hsu FP, Clatterbuck RE, Spetzler RF. Orbitozygomatic approach to basilar apex aneurysms. Neurosurgery 2005;56:172-7.
11 Nukui H, Mitsuka S, Hosaka T, Kakizawa T, Horikoshi T, Miyazawa N, et al. Technical points to improve surgical results in cases with basilar tip aneurysms. Neurol Med Chir (Tokyo) 1998;38 Suppl:74-8.
12 Ikeda K, Yamashita J, Hashimoto M, Futami K. Orbitozygomatic temporopolar approach for a high basilar tip aneurysm associated with a short intracranial internal carotid artery: A new surgical approach. Neurosurgery 1991;28:105-10.
13 Hakuba A, Liu S, Nishimura S. The orbitozygomatic infratemporal approach: A new surgical technique. Surg Neurol 1986;26:271-6.
14 Gonzalez LF, Amin-Hanjani S, Bambakidis NC, Spetzler RF. Skull base approaches to the basilar artery. NeurOSURG FOCUS 2005;19:E3.
15 Chen SF, Kato Y, Kumar A, Tan GW, Oguri D, Oda J, et al. Intraoperative rupture in the surgical treatment of patients with intracranial aneurysms. J Clin Neurosci 2016;34:63-9.
16 Fischer G, Oertel J, Perneczky A. Endoscopy in aneurysm surgery. Neurosurgery 2012;70:184-90.
17 Yoshioka H, Kinouchi H. The roles of endoscope in aneurysmal surgery. Neurol Med Chir (Tokyo) 2015;55:469-78.
18 Nwagwu CI, Mathews MS, Scott JA, Denardo AJ, Horner TG. Ruptured giant basilar artery aneurysm in a comatose adolescent: Successful obliteration using intraoperative SSEP, BAER, and MEP monitoring. A case report. Interv Neuroradiol 2006;12:237-44.
19 Sugiyama S, Niizuma K, Sato K, Rashad S, Kohama M, Endo H, et al. Blood flow into basilar tip aneurysms: A predictor for recanalization after coil embolization. Stroke 2016;47:2541-7.
20 Bohnstedt BN, Ziemba-Davis M, Sethia R, Payner TD, DeNardo A, Scott J, et al. Comparison of endovascular and microsurgical management of 208 basilar apex aneurysms. J Neurosurg 2017;127:1342-52.
21 Sekhar LN, Tariq F, Morton RP, Ghodke B, Hallam DK, Barber J, et al. Basilar tip aneurysms: A microsurgical and endovascular contemporary series of 100 patients. Neurosurgery 2013;72:284-98.
22 Nanda A, Sonig A, Banerjee AD, Javalkar VK. Microsurgical management of basilar artery apex aneurysms: A single surgeon's experience from Louisiana state university, Shreveport. World Neurosurg 2014;82:118-29.