title: A case of transient hypothermia after trans-lamina terminalis and third ventricle clipping of an extremely high-position basilar tip aneurysm.
abstract: Reports on the trans-lamina terminalis and trans-third ventricular approach are rare. The risk associated with this approach is unknown. After an unsuccessful endovascular surgery, we performed direct surgical clipping via the third ventricle on a 78-year-old woman presenting with an extremely high-positioned, ruptured basilar tip aneurysm. She experienced transient hypothermia for 5 days, and it was considered that this was due to hypothalamic dysfunction. It is necessary to recognize that there is the potential for hypothermia after surgery via the lamina terminalis and third ventricle, even though the mechanisms of hypothalamic thermoregulation are still unclear.
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Hidaka
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
authors.forename: Fusao
authors.initials: F
authors.lastname: Ikawa
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Hamasaki
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Kurokawa
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
authors.forename: Ushio
authors.initials: U
authors.lastname: Yonezawa
authors.affiliation: Department of Neurosurgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kurisu
keywords: Basilar tip aneurysm; hypothermia; trans-third ventricle approach