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Journal of Korean Neurosurgical Society > Volume 21(7); 1992 > Article
Journal of Korean Neurosurgical Society 1992;21(7): 839-843.
Zygomatic Approach for High Placed Basilar tip Aneurysm: Case Report.
Chul Jin Kim, Si Hyun Bae
Department of Neurosurgery, School of Medicine, Chonbuk National University Chonju, Chonbuk, Korea.
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.
Key Words: Basilar tip aneurysm; Zygomatic approach; Subcutaneous emphysema
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