Abstract
Posterior circulation aneurysms continue to be difficult-to-treat lesions that are ideally approached in a multifaceted fashion to craft the most effective treatment specific not only to the lesion but also to the individual patient. As neuroendovascular surgery continues to evolve, so does the role of microsurgical treatment of these lesions. Because of the relative rarity of posterior circulation aneurysms at some centers, it becomes even more imperative to avoid known pitfalls when treating patients with them.
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Abbreviations
- BRAT:
-
Barrow Ruptured Aneurysm Trial
- CN:
-
Cranial nerve
- CSF:
-
Cerebrospinal fluid
- OZ:
-
Orbitozygomatic
- PCA:
-
Posterior cerebral artery
- PCoA:
-
Posterior communicating artery
- PICA:
-
Posterior inferior cerebellar artery
- SCA:
-
Superior cerebellar artery
- VA:
-
Vertebral artery
References
Dubey A, Sung WS, Shaya M, et al. Complications of posterior cranial fossa surgery—an institutional experience of 500 patients. Surg Neurol. 2009;72:369–75.
Hernesniemi J. Posterior fossa aneurysms. J Neurosurg. 2002;96:638–40.
Drake CG, Peerless SJ, Hernesniemi JA. Surgery of vertebrobasilar aneurysms: London, Ontario, experience on 1767 patients. Vienna: Springer; 1996.
Hernesniemi J, Vapalahti M, Niskanen M, et al. Management outcome for vertebrobasilar artery aneurysms by early surgery. Neurosurgery. 1992;31:857–861.; Discussion 861–852.
Peerless SJ, Hernesniemi JA, Gutman FB, et al. Early surgery for ruptured vertebrobasilar aneurysms. J Neurosurg. 1994;80:643–9.
Yasargil MG. A legacy of microneurosurgery: memoirs, lessons, and axioms. Neurosurgery. 1999;45:1025–92.
Spetzler RF, Hadley MN, Rigamonti D, et al. Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection. J Neurosurg. 1988;68:868–79.
Samson D, Batjer HH, Kopitnik TA Jr. Current results of the surgical management of aneurysms of the basilar apex. Neurosurgery. 1999;44:697–702.; Discussion 702–694.
Rice BJ, Peerless SJ, Drake CG. Surgical treatment of unruptured aneurysms of the posterior circulation. J Neurosurg. 1990;73:165–73.
Wascher TM, Spetzler RF. Saccular aneurysms of the basilar bifurcation. In: Carter LP, Spetzler RF, editors. Neurovascular surgery. New York: McGraw-Hill; 1995. p. 729–52.
Salcman M, Rigamonti D, Numaguchi Y, et al. Aneurysms of the posterior inferior cerebellar artery-vertebral artery complex: variations on a theme. Neurosurgery. 1990;27:12–20.; Discussion 20–11.
Spetzler RF, McDougall CG, Zabramski JM, et al. The Barrow Ruptured Aneurysm Trial: 6-year results. J Neurosurg. 2015;123:609–17.
Wiebers DO, Whisnant JP, Huston J III, et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362:103–10.
Acknowledgments
The authors would like to thank the staff of Neuroscience Publications at Barrow Neurological Institute.
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Fennell, V.S., Nakaji, P. (2018). Aneurysms of the Posterior Circulation. In: Gandhi, C., Prestigiacomo, C. (eds) Cerebrovascular and Endovascular Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65206-1_14
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DOI: https://doi.org/10.1007/978-3-319-65206-1_14
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