How I do it: neuromonitoring-guided clipping of high-riding basilar tip aneurysm.

Autor: Clouse JW; Department of Neurological Surgery, University of California, Davis, 4860 Y Street, ACC Suite 3740, Sacramento, CA, 95817, USA., Karnati T; Department of Neurological Surgery, University of California, Davis, 4860 Y Street, ACC Suite 3740, Sacramento, CA, 95817, USA., Goodrich DJ; Department of Neurological Surgery, University of California, Davis, 4860 Y Street, ACC Suite 3740, Sacramento, CA, 95817, USA., Waldau B; Department of Neurological Surgery, University of California, Davis, 4860 Y Street, ACC Suite 3740, Sacramento, CA, 95817, USA. bwaldau@ucdavis.edu.
Jazyk: angličtina
Zdroj: Acta neurochirurgica [Acta Neurochir (Wien)] 2023 Oct; Vol. 165 (10), pp. 2819-2823. Date of Electronic Publication: 2023 Apr 28.
DOI: 10.1007/s00701-023-05600-y
Abstrakt: Background: Clipping of basilar tip aneurysms presents unique challenges due to the risk of perforator compromise and subsequent disabling stroke.
Method: Herein, we describe the correct trajectory of the clip applier to clip basilar tip aneurysms through an orbitozygomatic approach to prevent perforator injury and discuss management of intraoperative neuromonitoring changes.
Conclusion: We anticipate that this video and illustration will aid surgeons as they treat complex wide-necked basilar tip aneurysms with microsurgical clipping.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
Databáze: MEDLINE
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