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

Case reports in neurological medicine, 2019, Vol.2019, p.6049573-6049573

ISSN: 2090-6668 ;EISSN: 2090-6676 ;DOI: 10.1155/2019/6049573

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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
  • Is Part Of: Case reports in neurological medicine, 2019, Vol.2019, p.6049573-6049573
  • Description: BACKGROUNDThe 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. OBJECTIVESWe present a case of a basilar-AICA aneurysm undergoing surgery with the combined transpetrosal approach. CASE DESCRIPTIONA 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. DISCUSSIONSSurgical 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". CONCLUSIONGiant 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.
  • Language: English
  • Identifier: ISSN: 2090-6668
    EISSN: 2090-6676
    DOI: 10.1155/2019/6049573
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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