Complications of Surgery for Vertebrobasilar Artery Aneurysms and Final Comments

  • Charles G. Drake
  • Sydney J. Peerless
  • Juha A. Hernesniemi


Specific and unique complications of vertebrobasilar aneurysm surgery were recognized by the senior author in the early 1960’s: of the first 12 patients, only 5 had satisfactory results while 2 were poor and 5 died. In vertebrobasilar aneurysms, the difficulties with exposure and clip application may lead to the calamity of inadvertent major vessel occlusion, midbrain and/or thalamic infarction from perforator injury, problems in dealing with inadvertent intraoperative rupture, imperfect clipping with early rerupture, and frequent cranial nerve injuries.


Vertebral Artery Unruptured Aneurysm Giant Aneurysm Postoperative Hematoma Cranial Nerve Deficit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag/Wien 1996

Authors and Affiliations

  • Charles G. Drake
    • 1
    • 2
  • Sydney J. Peerless
    • 2
  • Juha A. Hernesniemi
    • 3
  1. 1.Department of SurgeryUniversity of Western Ontario, University HospitalLondonCanada
  2. 2.Division of NeurosurgeryUniversity of Western Ontario, University HospitalLondonCanada
  3. 3.Department of NeurosurgeryUniversity Hospital of KuopioKuopioFinland

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