J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803431
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Trans-Sylvian Subtemporal Approach for Microsurgical Clip Ligation of Separate Basilar Apex and Posterior Cerebral Artery Aneurysms

Kara A. Parikh
1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
,
Mustafa Motiwala
1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
,
Emal Lesha
1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
,
John Dugan
1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
,
Nickalus R. Khan
1   University of Tennessee/Semmes Murphey, Memphis, Tennessee, United States
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A 46-year-old female with history of severe headache was found to have a basilar apex and a fusiform left posterior cerebral artery (PCA) aneurysm. The patient underwent a trans-sylvian subtemporal approach for microsurgical clip ligation. Technical considerations for using multiple operative corridors for clipping multiple posterior circulation aneurysms is demonstrated. Complete obliteration of the aneurysms was observed on postoperative angiography. The patient was discharged home with an oculomotor palsy that resolved at 1 month.



Publication History

Article published online:
07 February 2025

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