How I do it: surgical clipping of vertebrobasilar junction aneurysms through a far-lateral transcondylar approach
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Vertebrobasilar junction aneurysms occur rarely, but have a higher rupture rate than supratentoral aneurysms, and higher morbidity and mortality. Their location ventral to the neuroaxis makes them a challenging surgical lesion.
In this paper, we share our experience with the surgical technique for the management of these complex aneurysms.
An in-depth understanding of the anatomy of these aneurysms, careful preoperative planning, and a meticulous surgical technique, including knowledge of every detail of the procedure—positioning, an advanced skull base technique, and careful aneurysm dissection and clipping—is essential for a successful outcome of the surgery.
KeywordsBrain aneurysm Vertebrobasilar junction aneurysms Skull-base surgery
digital subtraction angiography
- WFNS grade
World Federation of Neurosurgical Societies grading score
anterior inferior cerebellar artery
posterior inferior cerebellar artery
somatosensory- evoked potentials
brainstem auditory-evoked potentials
Compliance with ethical standards
This article does not contain any studies with human participants performed by any of the authors.
Conflict of interest
The authors declare that they have no conflict of interest.