DOI: 10.3171/jns.1979.51.5.0615. Microneurosurgery for aneurysms of the basilar artery

Microneurosurgery for aneurysms of the basilar artery

10.3171/jns.1979.51.5.0615

Crossref journal-article

Journal of Neurosurgery Publishing Group (JNSPG)

Journal of Neurosurgery (1754)

Abstract

✓ The authors report microsurgical treatment in 32 cases of basilar artery aneurysms, operated on with good results in 28 cases, fair results in one, and poor results in one; there were two deaths. Twenty-nine patients (91%) were able to return to social activities. Characteristics of the surgical techniques include 1) taking a transsylvian route; 2) retracting the M1 portion of the middle cerebral artery (occasionally the C1 portion of the internal carotid) medially with tapered brain retractors; and 3) approaching the aneurysm through and between perforators arising from the posterior cerebral artery in cases of high-placed basilar bifurcation. With regard to instrument improvements, tapered brain retractors, a multipurpose head frame, and bayonet clips (Sugita design) proved very helpful.

Bibliography

Sugita, K., Kobayashi, S., Shintani, A., & Mutsuga, N. (1979). Microneurosurgery for aneurysms of the basilar artery. Journal of Neurosurgery, 51(5), 615â620.

Authors 4

Kenichiro Sugita (first)
Shigeaki Kobayashi (additional)
Akira Shintani (additional)
Naomi Mutsuga (additional)

References 17 Referenced 125

10.3171/jns.1974.41.6.0671 / J Neurosurg / Surgical treatment of arterial aneurysms of the vertebrobasilar circulation. by Chou (1974)
10.3171/jns.1975.43.3.0255 / J Neurosurg / Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. by Drake (1975)
{'key': 'b3', 'series-title': 'Clinical Microneurosurgery.', 'first-page': '213', 'article-title': 'Surgical treatment of vertebrobasilar aneurysms', 'author': 'Drake', 'year': '1976'} / Clinical Microneurosurgery. / Surgical treatment of vertebrobasilar aneurysms by Drake (1976)
10.1212/WNL.15.3.231 / Neurology / Posterior fossa aneurysms. by Duvoisin (1965)
10.1227/00006123-197709000-00008 / Neurosurgery / The microsurgical anatomy of the basilar artery bifurcation. by Grand (1977)
10.1111/j.1600-0404.1963.tb05332.x / Acta Neurol Scand / Saccular aneurysms of the vertebral-basilar arterial system. A report of 28 cases. by Höök (1963)
10.3171/jns.1968.28.6.0544 / J Neurosurg / Aneurysms of the vertebrobasilar system. Further experience with nine cases. by Jamieson (1968)
10.3171/jns.1974.40.4.0486 / J Neurosurg / Surgical treatment of basilar artery aneurysms. Elective circulatory arrest with thoracotomy in 12 cases. by McMurtry (1974)
{'key': 'b9', 'series-title': 'J Neurosurg', 'first-page': '574', 'article-title': 'Report on the cooperative study on intracranial aneurysms and subarachnoid hemorrhage. Section VII, Part I. Evaluation of the conservative management of ruptured intracranial aneurysms.', 'volume': '25', 'author': 'Nishioka', 'year': '1966'} / J Neurosurg / Report on the cooperative study on intracranial aneurysms and subarachnoid hemorrhage. Section VII, Part I. Evaluation of the conservative management of ruptured intracranial aneurysms. by Nishioka (1966)
10.3171/jns.1977.46.5.0563 / J Neurosurg / Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. by Saeki (1977)
10.1159/000114270 / Eur Neurol / Vertebrobasilar aneurysms. Experience with 27 cases. by Sharr (1973)
10.3171/jns.1966.25.6.0683 / J Neurosurg / Report on the cooperative study on intracranial aneurysms and subarachnoid hemorrhage. Section VIII, Part 2. The results of intracranial surgery in the treatment of aneurysms. by Skultety (1966)
10.3171/jns.1976.44.6.0723 / J Neurosurg / Comparative study of the pressure of various aneurysm clips. by Sugita (1976)
10.3171/jns.1978.48.4.0656 / J Neurosurg / A newly designed multipurpose microneurosurgical head frame. Technical note. by Sugita (1978)
{'issue': '(Pt 2)', 'key': 'b15', 'series-title': 'Neurol Med Chir', 'first-page': '351', 'article-title': '[Microsurgery for vertebrobasilar aneurysms.]', 'volume': '17', 'author': 'Sugita', 'year': '1977'} / Neurol Med Chir / [Microsurgery for vertebrobasilar aneurysms.] by Sugita (1977)
10.3171/jns.1976.44.5.0537 / J Neurosurg / Surgical treatment for aneurysms of the upper basilar artery. by Wilson (1976)
{'key': 'b17', 'series-title': 'Surg Neurol', 'first-page': '83', 'article-title': 'Microsurgical pterional approach to aneurysms of the basilar bifurcation.', 'volume': '6', 'author': 'Yaşargil', 'year': '1976'} / Surg Neurol / Microsurgical pterional approach to aneurysms of the basilar bifurcation. by Yaşargil (1976)

Dates

Type	When
Created	16 years, 4 months ago (May 7, 2009, 11:32 a.m.)
Deposited	2 years, 5 months ago (March 19, 2023, 6:55 p.m.)
Indexed	2 months, 2 weeks ago (June 18, 2025, 9:33 p.m.)
Issued	45 years, 10 months ago (Nov. 1, 1979)
Published	45 years, 10 months ago (Nov. 1, 1979)
Published Print	45 years, 10 months ago (Nov. 1, 1979)

Funders 0

None

BibTeX

@article{Sugita_1979, title={Microneurosurgery for aneurysms of the basilar artery}, volume={51}, ISSN={0022-3085}, url={http://dx.doi.org/10.3171/jns.1979.51.5.0615}, DOI={10.3171/jns.1979.51.5.0615}, number={5}, journal={Journal of Neurosurgery}, publisher={Journal of Neurosurgery Publishing Group (JNSPG)}, author={Sugita, Kenichiro and Kobayashi, Shigeaki and Shintani, Akira and Mutsuga, Naomi}, year={1979}, month=nov, pages={615–620} }

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