title: Surgical treatment of unruptured dissecting intracranial aneurysms of vertebral-posterior inferior cerebellar artery region.
abstract: A lack of published surgical experience and higher symptomatic recurrence than previously recognized prompted the authors to present their experience with the surgical treatment of unruptured intracranial dissecting aneurysms (UIDAs). Hospital records, neuroimaging studies, operative reports, and follow-up records were retrospectively reviewed. All patients underwent surgical exploration of the lesion with proximal clipping of the parent artery through a far-lateral suboccipital craniotomy with or without partial condylar resection. The surgical treatment of vertebral artery-posterior inferior cerebellar artery UIDAs has acceptable risk regarding perioperative mortality and morbidity. The incidence of aneurysmal recurrence or the need for retreatment seems to be less than that associated with anticoagulation/antiplatelet therapy or endovascular treatment.
authors.affiliation: Department of Neurosurgery, Faculty of Medicine and Dentistry, Palacky University, University Hospital Olomouc, Olomouc, Czech Republic - balik.vladimir@gmail.com.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Balik
authors.affiliation: Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yamada
authors.affiliation: Department of Neurosurgery, Andhra Medical College, Visakhapatnam, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Talari
authors.affiliation: Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Yamashiro
authors.affiliation: Department of Neurosurgery, Inner Mongolia People's Hospital, Hohhot, China.
authors.forename: Rile
authors.initials: R
authors.lastname: Wu
authors.affiliation: Department of Neurosurgery, Fuchu Keijinkai Hospital, Fuchu City, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Suyama
authors.affiliation: Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan.
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Kawase
authors.affiliation: Normal Pressure Hydrocephalus Center, Chiba Kashiwa Tanaka Hospital, Kashiwa City, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Takagi
authors.affiliation: Department of Neurosurgery, Japanese Red Cross Asahikawa Hospital, Asahikawa, Japan.
authors.forename: Katsumi
authors.initials: K
authors.lastname: Takizawa
authors.affiliation: Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kato
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome