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Successful Clipping of a Giant Anterior Inferior Cerebellar Artery Aneurysm with Combined Transpetrosal Approach

Case reports in neurological medicine, 2019-09, Vol.2019, p.6049573-5 [Peer Reviewed Journal]

Copyright © 2019 The-Hao Nguyen et al. ;COPYRIGHT 2019 Hindawi Limited ;Copyright © 2019 The-Hao Nguyen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0 ;Copyright © 2019 The-Hao Nguyen et al. 2019 ;ISSN: 2090-6668 ;EISSN: 2090-6676 ;DOI: 10.1155/2019/6049573 ;PMID: 31641543

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  • Title:
    Successful Clipping of a Giant Anterior Inferior Cerebellar Artery Aneurysm with Combined Transpetrosal Approach
  • Author: Nguyen, The-Hao ; Pham, Van-Thanh-Cong ; Pham, Quynh-Trang ; Nguyen Si Anh, Hao ; Tran Nhu, Phong ; Vo, Hoang-Long
  • Gontkovsky, Samuel T. ; Samuel T Gontkovsky
  • Subjects: Aneurysm ; Aneurysms ; Care and treatment ; Case Report ; Neurosurgery ; Sinuses ; Surgical outcomes ; Veins & arteries
  • Is Part Of: Case reports in neurological medicine, 2019-09, Vol.2019, p.6049573-5
  • Description: Background. The anterior inferior cerebellar artery (AICA) aneurysms are rare lesions whose treatment can be challenging. There are only a few previous reports of surgical treatment for such lesions. Objectives. We present a case of a basilar-AICA aneurysm undergoing surgery with the combined transpetrosal approach. Case Description. A 58-year-old female patient presented clinical signs including headache, diplopia, and right hemiparesis. The radiological imaging showed a basilar-AICA aneurysm measuring 25 × 19 mm. The patient was operated via left combined transpetrosal approach. The outcome was graded mRankin 1. Follow-up computerized tomographic angiography showed no aneurysmal residual and total preservation of basilar artery. Discussions. Surgical indication’s purposes were aneurysmal elimination and reduction of mass effect. Combined transpetrosal approach: proximal segment control and enough space for clipping manipulation. Clipping techniques: Temporary clip for aneurysmal collapsing, “orienting clip”. Conclusion. Giant basilar-AICA aneurysm is very rare lesion. Combined transpetrosal approach is appropriate for surgical clipping. Good surgical outcome is achieved with complete elimination of aneurysm.
  • Publisher: United States: Hindawi
  • Language: English
  • Identifier: ISSN: 2090-6668
    EISSN: 2090-6676
    DOI: 10.1155/2019/6049573
    PMID: 31641543
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    Directory of Open Access Journals
    ProQuest Central
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