Giant thrombosed vertebral artery aneurysm managed with extracranial-intracranial bypass surgery and aneurysmectomy

Case report

View More View Less
  • 1 Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, and Kobayashi Neurosurgical Hospital, Nagano, Japan
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓ A case is presented of a left giant thrombosed vertebral artery aneurysm in a 46-year-old man. The giant thrombosed aneurysm was successfully resected with trapping of the affected artery after right external carotid artery-posterior cerebral artery bypass surgery using a radial arterial graft. The clinical course is reported, and the details of the operative approach and techniques are discussed.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1.

    Ausman JI, , Lee MC, & Chater N, et al: Superficial temporal artery to superior cerebellar artery anastomosis for distal basilar artery stenosis. Surg Neurol 12:277282, 1979 Ausman JI, Lee MC, Chater N, et al: Superficial temporal artery to superior cerebellar artery anastomosis for distal basilar artery stenosis. Surg Neurol 12:277–282, 1979

    • Search Google Scholar
    • Export Citation
  • 2.

    Hopkins LN, , Budney JL, & Castellani D: Extracranial-intracranial arterial bypass and basilar artery ligation in the treatment of giant basilar artery aneurysms. Neurosurgery 13:189194, 1983 Hopkins LN, Budney JL, Castellani D: Extracranial-intracranial arterial bypass and basilar artery ligation in the treatment of giant basilar artery aneurysms. Neurosurgery 13:189–194, 1983

    • Search Google Scholar
    • Export Citation
  • 3.

    Hosobuchi Y: Direct surgical treatment of giant intracranial aneurysms. J Neurosurg 51:743756, 1979 Hosobuchi Y: Direct surgical treatment of giant intracranial aneurysms. J Neurosurg 51:743–756, 1979

    • Search Google Scholar
    • Export Citation
  • 4.

    Ishii R, , Tanaka R, & Koike T, et al: Computed tomographic demonstration of the effect of proximal parent artery ligation for giant intracranial aneurysms. Surg Neurol 19:532540, 1983 Ishii R, Tanaka R, Koike T, et al: Computed tomographic demonstration of the effect of proximal parent artery ligation for giant intracranial aneurysms. Surg Neurol 19:532–540, 1983

    • Search Google Scholar
    • Export Citation
  • 5.

    Lansen TA, , Kasoff SS, & Arguelles JH: Giant pediatric aneurysm treated with ligation of the middle cerebral artery with the Drake tourniquet and extracranial-intracranial bypass. Neurosurgery 25:8185, 1989 Lansen TA, Kasoff SS, Arguelles JH: Giant pediatric aneurysm treated with ligation of the middle cerebral artery with the Drake tourniquet and extracranial-intracranial bypass. Neurosurgery 25:81–85, 1989

    • Search Google Scholar
    • Export Citation
  • 6.

    Massey CE, , El Gammal T, & Brooks BS: Giant posterior inferior cerebellar artery aneurysm with dysphagia. Surg Neurol 22:467471, 1984 Massey CE, El Gammal T, Brooks BS: Giant posterior inferior cerebellar artery aneurysm with dysphagia. Surg Neurol 22:467–471, 1984

    • Search Google Scholar
    • Export Citation
  • 7.

    Sen CN, & Sekhar LN: An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27:197204, 1990 Sen CN, Sekhar LN: An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27:197–204, 1990

    • Search Google Scholar
    • Export Citation
  • 8.

    Sugita K: Microneurosurgical Atlas. Berlin: Springer-Verlag, 1985, pp 116135 Sugita K: Microneurosurgical Atlas. Berlin: Springer-Verlag, 1985, pp 116–135

    • Search Google Scholar
    • Export Citation
  • 9.

    Sugita K, , Kobayashi S, & Toshiki T, et al: Giant aneurysms of the vertebral artery. Report of five cases. J Neurosurg 68:960966, 1988 Sugita K, Kobayashi S, Toshiki T, et al: Giant aneurysms of the vertebral artery. Report of five cases. J Neurosurg 68:960–966, 1988

    • Search Google Scholar
    • Export Citation
  • 10.

    Sundt TM Jr, & Piepgras DG: Occipital to posterior inferior cerebellar artery bypass surgery. J Neurosurg 48:916928, 1978 Sundt TM Jr, Piepgras DG: Occipital to posterior inferior cerebellar artery bypass surgery. J Neurosurg 48:916–928, 1978

    • Search Google Scholar
    • Export Citation
  • 11.

    Waga S, , Fujimoto K, & Morooka Y: Dissecting aneurysm of the vertebral artery. Surg Neurol 10:237239, 1978 Waga S, Fujimoto K, Morooka Y: Dissecting aneurysm of the vertebral artery. Surg Neurol 10:237–239, 1978

    • Search Google Scholar
    • Export Citation
  • 12.

    Whittle IR, , Dorsch NW, & Besser M: Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 45:10401047, 1982 Whittle IR, Dorsch NW, Besser M: Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 45:1040–1047, 1982

    • Search Google Scholar
    • Export Citation
  • 13.

    Yamaura A: Diagnosis and treatment of vertebral aneurysms. J Neurosurg 69:345349, 1988 Yamaura A: Diagnosis and treatment of vertebral aneurysms. J Neurosurg 69:345–349, 1988

    • Search Google Scholar
    • Export Citation
  • 14.

    Yasui N, , Ohta H, & Suzuki A, et al: Cervical carotid artery to middle cerebral artery anastomosis with interposed radial artery graft, in Spetzler RF, , Carter LP, & Selman WR, et al (eds): Cerebral Revascularization for Stroke. New York: Thieme-Stratton, 1985, pp 379385 Yasui N, Ohta H, Suzuki A, et al: Cervical carotid artery to middle cerebral artery anastomosis with interposed radial artery graft, in Spetzler RF, Carter LP, Selman WR, et al (eds): Cerebral Revascularization for Stroke. New York: Thieme-Stratton, 1985, pp 379–385

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 325 69 6
Full Text Views 202 10 0
PDF Downloads 147 11 0
EPUB Downloads 0 0 0