TITLE:
Surgical Clipping of a Basilar Tip Aneurysm: Case Report and Literature Review
AUTHORS:
Médard Kakou, Alban Slim Mbende, Fulbert Kouakou, Phanré Doua
KEYWORDS:
Basilar Artery, Basilar Tip Aneurysm, Surgical Clipping
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.7 No.3,
July
4,
2017
ABSTRACT: Basilar tip aneurysms account for 5% - 8% of all intracranial aneurysms. They are known to
rupture more frequently than aneurysms in other locations. Surgical clipping of
basilar apex aneurysms however challenging; remains the treatment of choice in
Ivory Coast due in part, to multiple technical barriers. A 60-year-old
right-handed patient presented to our Neurosurgical Unit in February 2nd 2013 after a sudden onset of altered consciousness. Neurological examination
revealed both an upper motor neuron and meningeal syndromes with a Glasgow Coma
Scale of 12. Brain NECT scan and a subsequent brain CT angiography showed a subarachnoid haemorrhage and a 3.8 mm (height) × 5.2 mm (width) basilar tip aneurysm
respectively. Surgical clipping of the aneurysm was indicated but due to
multiple technical barriers, surgery was delayed and the patient underwent
surgery after the critical vasospasm period. The patient developed a hospital
acquired pneumonia after surgery and was successfully treated with antibiotics.
Since her discharge, she has been asymptomatic. We sought to report this case
of a basilar apex aneurysm successfully occluded with non-ferromagnetic SUGITA
clips and to share our experience of clipping these lesions through the
frontotemporal approach. The patient was informed that non identifying
information from the case would be submitted for publication, and she provided
consent.