title: Testing the boundaries of neurosurgical innovation … twice: an account of one patient's unique intracranial aneurysm treatment.
abstract: BACKGROUND
  The treatment of intracranial aneurysms has evolved over the past several decades and has profited by the ingenuity and expertise of generations of innovative neurosurgeons.
  
  
  METHODS
  A 79-year-old man presented with symptoms related to recurrence of his previously ruptured basilar bifurcation aneurysm 35 years after undergoing the first awake hunterian ligation for the same aneurysm performed by Dr. Charles Drake.
  
  
  CONCLUSIONS
  This report details the treatment strategies applied in the management of the patient's aneurysm then and now, offering us a glimpse into the evolution of neurosurgical treatment for basilar bifurcation aneurysms in a patient who was able to benefit from neurosurgical innovation twice in his lifetime.
authors: Department of Neurosurgery, School of Medicine and Biomedical Sciences, and Toshiba Stroke Research Center, University at Buffalo, State University of New York, Buffalo, New York, USA.
authors: Mandy J
authors: MJ
authors: Binning
authors: James L
authors: JL
authors: Budny
authors: Adnan H
authors: AH
authors: Siddiqui
authors: Elad I
authors: EI
authors: Levy
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured; D015901:Angiography, Digital Subtraction; D001488:Basilar Artery / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D057510:Endovascular Procedures; D020233:Gait Disorders, Neurologic / Q000209:etiology; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008026:Ligation; D008297:Male; D009493:Neurosurgery / Q000266:history / Q000639:trends*; D019635:Neurosurgical Procedures / Q000379:methods*