Zygomatic Approach for High Placed Basilar tip Aneurysm: Case Report.
- Author:
Chul Jin KIM
1
;
Si Hyun BAE
Author Information
1. Department of Neurosurgery, School of Medicine, Chonbuk National University Chonju, Chonbuk, Korea.
- Publication Type:Original Article
- Keywords:
Basilar tip aneurysm;
Zygomatic approach;
Subcutaneous emphysema
- MeSH:
Aged;
Anesthesia;
Aneurysm*;
Brain;
Female;
Humans;
Pneumothorax;
Rupture;
Subarachnoid Hemorrhage;
Subcutaneous Emphysema;
Tracheostomy;
Zygoma
- From:Journal of Korean Neurosurgical Society
1992;21(7):839-843
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The surgical approach to high placed basilar tip aneurysm presents a special technical problem. The author experienced the case of a 70-year-old female who developed subarachnoid hemorrhage due to rupture of superoposteriolry projecting and high placed basilar tip aneurysm. For the purpose of minimal brain retraction and excellent exposure, the author used a technique which was a combination of the detachment of the zygomatic arch and pterional approach. This aneurysm was clipped successfully and easily with the zygomatic approach, but under the anesthesia there was a severe subcutaneous emphysema and pneumothorax which was produced through a tracheostomy site.
