医学
剪裁(形态学)
动脉瘤
基底动脉
顶点(几何体)
外科
放射科
解剖
语言学
哲学
作者
Jhon E. Bocanegra-Becerra,José Luis Acha Sánchez
标识
DOI:10.1016/j.wneu.2024.07.159
摘要
Basilar apex aneurysms (BAAs) are challenging and mortal vascular pathologies. In this operative video, we present the case of a 58-year-old female who was admitted with a severe headache and loss of consciousness. She was diagnosed with a ruptured BAA (Fisher grade 4) and merited microsurgical management after careful consideration of aneurysmal features, available clinical setting resources, and discussion with her family. Anatomical nuances for approaching these lesions stepwise are demonstrated in the attached video. Unfortunately, despite adequate surgical treatment, she developed postoperative complications such as cerebral vasospasm and pneumonia, which led to her death. Overall, this technical report depicts the formidable nature of BAA and prompts the need for optimized protocols during the postoperative stage.
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