Surgical Treatment of Posterior Circulating Aneurysms

  • Akira Yamaura
Conference paper


Probably the first successful operation for a posterior circulation aneurysms was performed by Olivercrona in 1932 for a right peripheral posterior inferior cerebellar artery (PICA) aneurysms, which was trapped and excised [4]. A basilar aneurysm was surgically treated by Gillingham in 1958. Drake (1961), Logue (1964), and Jamieson (1964) pioneered utilization of a subtemporal approach in the treatment of basilar aneurysms. In 1975, Yaşargil et al. reported a frontolateral route to basilar bifurcation (BA-BIF) aneurysms [10]. A technical note of the transsylvian approach to aneurysms of the terminal portion of the basilar artery and of the lateral suboccipital approach to vertebral aneurysms will be discussed from our experience.


Internal Carotid Artery Basilar Artery Oculomotor Nerve Sylvian Fissure Aneurysm Neck 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Cruciger MP, Hoyt WF, Wilson CB (1981) Peripheral and midbrain oculomotor palsies from operations for basilar bifurcation aneurysms in a series of 31 cases. Surg Neurol 15:215–219PubMedCrossRefGoogle Scholar
  2. 2.
    Drake CG (1978) Treatment of aneurysms of the posterior cranial fossa. Prog Neurol Surg 9:122–194Google Scholar
  3. 3.
    Friedman AH, Drake CG (1984) Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg 60:325–334PubMedCrossRefGoogle Scholar
  4. 4.
    Höök O, Norlen G, Guzman J (1963) Saccular aneurysms of the vertebral basilar arterial system. A report of 28 cases. Acta Neurol Scand 19:271CrossRefGoogle Scholar
  5. 5.
    Peerless SJ Management of aneurysms of posterior circulation. In: Youmans JR (ed) Neurological surgery, vol. 3. Saunders, Philadelphia, pp 1715-1763Google Scholar
  6. 6.
    Saeki N, Rhoton AL Jr (1977) Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. J Neurosurg 46:563–578PubMedCrossRefGoogle Scholar
  7. 7.
    Yamaura A (1985) Surgical treatment of posterior circulation aneurysms: I, II. Contemporary Neurosurgery 7(12):1–8, 7(13):1-8Google Scholar
  8. 8.
    Yamaura A, Ise H, Makino H (1981) Radiometric study on posterior inferior cerebellar aneurysms with special reference to accessibility by the lateral suboccipital approach. Neurol Med Chir 21:721–734CrossRefGoogle Scholar
  9. 9.
    Yamaura A, Ise H, Makino H (1982) Treatment of aneurysms arising from the terminal portion of the basilar artery. With special reference to the radiometric study and accessibility of trans-sylvian approach. Neurol Med Chir 22:521–532Google Scholar
  10. 10.
    Yaşargil MG, Antic J, Laciga R, et al. (1975) Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol 6:83–91Google Scholar

Copyright information

© Springer Japan 1988

Authors and Affiliations

  • Akira Yamaura
    • 1
  1. 1.Department of NeurosurgeryChiba University School of MedicineChibaJapan

Personalised recommendations