This paper is only available as a PDF. To read, Please Download here.
Distal basilar aneurysms appear to produce symptoms from hemorrhage or enlargement at least as frequently as their anterior circulation counterparts. Once giant size has been reached, the future of the patient is indeed bleak. The diagnostic evaluation and therapeutic strategy to successfully combat these lesions requires thoughtful interaction between the neurosurgeon, the neuroradiologist, and medical and critical care physicians. In my opinion, patients are best served by referral to centers equipped for these complex and dangerous procedures.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Stroke and Cerebrovascular Diseases
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Pathological considerations.in: Yasargil MG Microneurosurgery. vol 1. Georg Thieme Verlag, Stuttgart and New York1984: 279-349
- Vertebrobasilar aneurysms.in: Yasargil MG Microneurosurgery. vol 2. Georg Thieme Verlag, Stuttgart and New York1984: 232-295
- The microsurgical anatomy of the basilar artery bifurcation.Neurosurgery. 1977; 1: 128-131
- The treatment of aneurysms of the posterior circulation.Clin Neurosurg. 1979; 26: 96-144
- Microsurgical pterional approach to aneurysms of the basilar bifurcation.Surg Neurol. 1976; 6: 83-91
- a.The combined pterional/anterior temporal approach for aneurysms of the upper basilar artery complex. Technical report.Neurosurgery. 1993; 33: 244-251
- Combined transsylvian-subtemporal exposure of cerebral aneurysms involving the basilar apex.Microsurgery. 1994; 15: 534-540
- Causes of morbidity and mortality from surgery of aneurysms of the distal basilar artery.Neurosurgery. 1989; 25: 904-916
- Giant aneurysms of the posterior circle of Willis and its branches.in: Awad IA Barrow DL Giant Cerebral Aneurysms. American Association of Neurological Surgeons, Park Ridge, IL1995: 175-196
- A clinical study of the parameters and effects of temporary arterial occlusion in the management of intracranial aneurysms.Neurosurgery. 1994; 34: 22-29
- Giant intracranial aneurysms: experience with surgical treatment in 174 patients.Clin Neurosurg. 1979; 26: 12-95
- Interventional neurovascular treatment of a giant intracranial aneurysm using platinum microcoils.Surg Neurol. 1991; 33: 64-68
- Enlarging, thrombosed giant basilar artery aneurysm.Neurosurgery. 1990; 26: 695-700
© 1997 National Stroke Association. All rights reserved. Published by Elsevier Inc.