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- Title
Surgical approach to posterior inferior cerebellar artery aneurysms.
- Authors
La Pira, Biagia; Sturiale, Carmelo Lucio; Della Pepa, Giuseppe Maria; Albanese, Alessio
- Abstract
Background: The far-lateral is a standardised approach to clip aneurysms of the posterior inferior cerebellar artery (PICA). Different variants can be adopted to manage aneurysms that differ in morphology, topography, ruptured status, cerebellar swelling and surgeon preference. Method: We distinguished five paradigmatic approaches aimed to manage aneurysms that are: proximal unruptured; proximal ruptured requiring posterior fossa decompression (PFD); proximal ruptured not requiring PFD; distal unruptured; distal ruptured. Conclusions: Preoperative planning in the setting of PICA aneurysm surgery is of paramount importance to perform an effective and safe procedure, to ensure an adequate PFD and optimal proximal control before aneurysm manipulation.
- Subjects
ANEURYSMS; VASCULAR diseases; CEREBELLUM diseases; CEREBELLAR cortex; NEUROVASCULAR diseases
- Publication
Acta Neurochirurgica, 2018, Vol 160, Issue 2, p295
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-017-3387-6