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首页> 外文期刊>Neurosurgical focus >Retrosigmoid craniotomy for clipping of two vertebrobasilar junction aneurysms
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Retrosigmoid craniotomy for clipping of two vertebrobasilar junction aneurysms

机译：后乙状结肠开颅术用于夹闭两个椎基底动脉交界动脉瘤

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In this operative video, we demonstrate the approach to a 10-mm distal left vertebral artery and proximal basilar artery blister aneurysm in a 62-year-old male presenting with subarachnoid hemorrhage. He initially underwent clipping of the ruptured ACoA aneurysm and two incidental right MCA aneurysms. Ten days later, the posterior circulation aneurysms were clipped through an extended retrosigmoid approach, working between cranial nerves 9–11 inferiorly and 7–8 superiorly. The vertebral artery was accessible from its dural entry site to the vertebrobasilar junction with the rostral limit of the exposure at the level of the tentorium. He underwent uneventful clipping of all aneurysms without postoperative morbidity.
机译：在此手术视频中，我们演示了对一名62岁男性蛛网膜下腔出血男性的10毫米远端左椎动脉远端和基底动脉近端水泡动脉瘤的治疗方法。他最初接受了破裂的ACoA动脉瘤和两个附带的右MCA动脉瘤的修剪。十天后，通过延长的乙状结肠后入路夹住后循环动脉瘤，在颅神经下9-11和上神经7-8之间工作。从硬脑膜进入部位到椎基底交界处可触及椎动脉，并且在延张肌水平上，其暴露的最大延展性。他对所有动脉瘤进行了平整的修剪，无术后并发症。

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