Midline aneurysms of the vertebrobasilar junction: an effective anterior approach.
There are acknowledged difficulties associated with operations on midline aneurysms at the vertebrobasilar junction. This report describes a series of such aneurysms treated by an anterior approach using a Le Fort maxillotomy to gain access via the clivus to the aneurysm. In each case the aneurysm was dealt with satisfactorily with no long-term morbidity or mortality. Attention is directed to the necessity for a water-tight dural seal postoperatively. We advocate wider use of this technique in appropriate circumstances.
Uttley
D
D
Atkinson Morley's Hospital, Wimbledon, London, UK.
Archer
D J
DJ
Taylor
W A
WA
Bell
B A
BA
D000328:Adult; D000368:Aged; D002533:Cerebral Angiography; D003399:Craniotomy / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*