Anaesthesia for surgical occlusion of the basilar artery. A technique involving intra-operative awakening to allow neurological assessment.
A case is described of a giant fusiform aneurysm of the basilar artery which was treated successfully by proximal surgical occlusion of the artery. The anaesthetic management involved the intra-operative awakening of the patient in order to assess neurological function immediately after application of the clip. The difficulties involved in this type of surgery are discussed.
D000293:Adolescent; D000768:Anesthesia, General / Q000379:methods*; D000783:Aneurysm / Q000601:surgery*; D001488:Basilar Artery / Q000601:surgery*; D001921:Brain / Q000502:physiology; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008026:Ligation; D014851:Wakefulness