Giant Basilar-Superior Cerebellar Artery Aneurysms: 56 Patients

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


Fifty-two giant aneurysms arose from the basilar artery at the origin of the superior cerebellar artery (SCA). Four arose from the SCA itself, two proximally in front of the midbrain and two distally compressing the midbrain posterolaterally. Eighteen were illustrated and described previously (Fig. 8.1).


Basilar Artery Giant Aneurysm Mural Thrombus Superior Cerebellar Artery Oculomotor Palsy 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Batjer HH, Samson DS: Causes of morbidity and mortality from surgery of aneurysms of the distal basilar artery. J Neurosurg 25: 904–915, 1989CrossRefGoogle Scholar
  2. 2.
    Drake CG: Bleeding aneurysms of the basilar artery. Direct surgical management in four cases. J Neurosurg 23: 230–238, 1961Google Scholar
  3. 3.
    Drake CG: Further experience with surgical treatment of aneurysms of the basilar artery. J Neurosurg 29: 372–392, 1968PubMedCrossRefGoogle Scholar
  4. 4.
    Drake CG: Surgical treatment of ruptured aneurysms of the basilar artery. Experience with 14 cases. J Neurosurg 23: 457–473, 1965PubMedCrossRefGoogle Scholar
  5. 5.
    Drake CG: The surgical treatment of aneurysms of the basilar artery. J Neurosurg 29: 436–446, 1968PubMedCrossRefGoogle Scholar
  6. 6.
    Drake CG: The surgical treatment of the vertebralbasilar aneurysms. Clin Neurosurg 16: 114–169, 1969PubMedGoogle Scholar
  7. 7.
    Drake CG: Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43: 255–74, 1975PubMedCrossRefGoogle Scholar
  8. 8.
    Drake CG: Giant intracranial aneurysms: Experience with surgical treatment in 174 patients. Clin Neurosurg 26: 12–95, 1979PubMedGoogle Scholar
  9. 9.
    Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26: 96–144, 1979PubMedGoogle Scholar
  10. 10.
    Drake CG, Friedman AH, Peerless SJ: Failed aneurysm surgery. Reoperation in 115 cases. J Neurosurg 61: 848–856, 1984PubMedCrossRefGoogle Scholar
  11. 11.
    Ferguson GG: Physical factors in the initiation, growth and rupture of human intracranial saccular aneurysms. J Neurosurg 37: 666–677, 1972PubMedCrossRefGoogle Scholar
  12. 12.
    Fox JL: Intracranial aneurysms, vol I—III. New York, Berlin, Heidelberg, Tokyo: Springer, 1983, 1463 ppGoogle Scholar
  13. 13.
    Gacs G, Vinuela F, Fox AJ, Drake CG: Peripheral aneurysms of the cerebellar arteries. Review of 16 cases. J Neurosurg 58: 63–68, 1983PubMedCrossRefGoogle Scholar
  14. 14.
    Marinkovic SV, Gibo H: The surgical anatomy of the perforating branches of the basilar artery. Neurosurgery 33: 80–87, 1993PubMedCrossRefGoogle Scholar
  15. 15.
    Matsuno H, Rhoton AL Jr, Peace D: Microsurgical anatomy of the posterior fossa cisterns. Neurosurgery 23: 58–80, 1988PubMedCrossRefGoogle Scholar
  16. 16.
    Peerless SJ, Drake CG: Management of aneurysms of posterior circulation. In: Youmans JR (ed) Neurological surgery, vol 3, 3rd ed. Philadelphia: Saunders, 1990, pp 1764–1806Google Scholar
  17. 17.
    Peerless SJ, Hernesniemi JA, Drake CG: Surgical techniques of terminal basilar and posterior cerebral artery Aneurysms. In: Schmidek H, Sweet H (eds) Operative neurosurgical techniques, 3rd ed. Philadelphia: Saunders, 1995, pp 1071–1086Google Scholar
  18. 18.
    Peerless SJ, Hernesniemi JA, Gutman FB, Drake CG: Early surgery for ruptured posterior circulation aneurysms. J Neurosurg 80: 643–649, 1994PubMedCrossRefGoogle Scholar
  19. 19.
    Pool JL, Potts DG: Aneurysms and arteriovenous anomalies of the brain. Diagnosis and treatment. New York: Harper and Row, 1965Google Scholar
  20. 20.
    Saeki N,Rhoton AL Jr: Microsurgical anatomy of the upper basilar artery and the Posterior circle of Willis. J Neurosurg 46: 563–578, 1977CrossRefGoogle Scholar
  21. 21.
    Samson DS, Hodosh RM, Clark WK: Microsurgical evaluation of the pterional approach to aneurysms of the distal basilar circulation. Neurosurgery 3: 135–141, 1978PubMedCrossRefGoogle Scholar
  22. 22.
    Solomon RA, Stein BM: Surgical approaches to aneurysms of the vertebral and basilar arteries. Neurosurgery 23: 203–208, 1988PubMedCrossRefGoogle Scholar
  23. 23.
    Steinberg GK, Drake CG, Peerless SJ: Deliberate basilar or vertebral artery occlusion in the treatment of intracranial aneurysms. J Neurosurg 79: 161–173, 1993PubMedCrossRefGoogle Scholar
  24. 24.
    Sugita K, Kobayashi S, Shintani A, Mutsuga N: Micro-neurosurgery for aneurysms of the basilar artery. J Neurosurg 51: 615–620, 1979PubMedCrossRefGoogle Scholar
  25. 25.
    Yasargil MG: Vertebrobasilar aneurysms. In: Micro-neurosurgery in 4 volumes, vol II. Stuttgart, New York: Thieme, 1986, pp 232–295Google Scholar

Copyright information

© 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

Personalised recommendations