| Autor: |
Toader C; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania., Serban M; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania., Covache-Busuioc RA; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania., Radoi MP; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania., Aljboor GSR; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Vascular Neurosurgery, National Institute of Neurology and Neurovascular Diseases, 077160 Bucharest, Romania., Glavan LA; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania., Corlatescu AD; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania., Ilie MM; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania., Gorgan RM; Department of Neurosurgery 'Carol Davila', University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Neurosurgery, Clinical Emergency Hospital 'Bagdasar-Arseni', 041915 Bucharest, Romania. |
| Abstrakt: |
Background/Objectives : Superior cerebellar artery (SCA) aneurysms are exceedingly rare, posing unique diagnostic and management challenges due to their complex anatomical location within the posterior circulation. The proximity of the SCA to vital structures, such as the brainstem and cerebellum, along with the significant role of poorly controlled hypertension in aneurysm formation, further complicates treatment. This case aims to highlight the surgical approach and management strategies employed in treating a rare SCA aneurysm in a patient with longstanding hypertension. Methods : A 68-year-old female presented with an acute onset of severe headache, nausea, and vomiting, later confirmed to be due to a ruptured SCA aneurysm. The patient's history of poorly controlled hypertension was identified as a major contributing factor to the aneurysm's development and rupture. Due to the aneurysm's wide-neck morphology and irregular shape, microsurgical clipping was selected as the treatment method. The occipito-parietal far-lateral approach was employed to gain optimal access to the aneurysm, minimizing the risk to adjacent neurovascular structures. Results : Microsurgical clipping successfully excluded the aneurysm while preserving the parent artery. The surgical approach enabled precise aneurysm isolation and ensured no postoperative neurological deficits. The patient recovered well, with no significant complications, and hypertension management was emphasized as a vital element of the patient's long-term care. Conclusions : The surgical technique effectively achieved complete aneurysm exclusion with preservation of the parent artery and no associated neurological deficits. The patient's recovery was uneventful, highlighting the efficacy of the approach. Long-term management of hypertension remains a critical component to prevent recurrence and ensure sustained outcomes. |
