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Table of Contents    
LETTERS TO EDITOR
Year : 2018  |  Volume : 66  |  Issue : 1  |  Page : 256-257

Trans-third ventricular approach to basilar top aneurysm


1 Department of Neurosurgery, Tokyo Rosai Hospital, Tokyo, Japan
2 Department of Neurosurgery, Kawasaki Hospital, Ibaraki, Japan

Date of Web Publication11-Jan-2018

Correspondence Address:
Dr. Shunsuke Nomura
Department of Neurosurgery, Tokyo Rosai Hospital, Tokyo
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.222866

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How to cite this article:
Nomura S, Ujiie H, Kato K, Higa T, Shinohara C, Kawasaki M. Trans-third ventricular approach to basilar top aneurysm. Neurol India 2018;66:256-7

How to cite this URL:
Nomura S, Ujiie H, Kato K, Higa T, Shinohara C, Kawasaki M. Trans-third ventricular approach to basilar top aneurysm. Neurol India [serial online] 2018 [cited 2019 Apr 23];66:256-7. Available from: http://www.neurologyindia.com/text.asp?2018/66/1/256/222866




Sir,

A basilar top aneurysm is one of those aneurysms that are difficult to treat. At present, endovascular surgery is given priority as the initial choice of treatment. Surgically, pterional or subtemporal approaches are the main routes for accessing the aneurysmal location.[1],[2] We present a case of a high-positioned basilar top aneurysm treated by a trans-third ventricular approach because of failure of the other treatment options, and discuss the problems associated with the management of this high-placed aneurysm in the elderly patient.

A 90-year old woman presented with severe headache. Computed tomography (CT) of the head demonstrated subarachnoid hemorrhage (SAH) caused by a ruptured high-positioned basilar top aneurysm [Figure 1]. In consideration of the better clinical Hunt and Hess grade of the patient coupled with the strong desire of the patient and her family to undergo treatment of the existing aneurysm, and her excellent activities of daily living (ADL) prior to her ictus, surgical treatment was planned. Although endovascular intervention was attempted as the initial treatment of choice, the catheter failed to reach the targeted lesion because of the arteriosclerotic tortuous parent arteries. Therefore, clipping of the aneurysm through the trans-third ventricular approach was performed. The surgery for clipping of the aneurysm was performed after the duration of vasospasm was over. A very narrow surgical corridor was made through the right interhemispheric fissure. The base of the frontal lobe was not breached, and the right gyrus rectus was resected to avoid over-retraction of the frontal lobe. Bilateral A2 branches of the anterior cerebral artery (ACA) and the lamina terminalis were easily identified, and the third ventricle was opened through the lamina terminalis. Removal of cerebrospinal fluid (CSF) made it possible to visualize the intraventricular anatomy. The premamillary space on the ventral side of the mammillary bodies were incised to observe the trunk of the basilar artery. Subsequently, the aneurysmal neck between the bilateral P1 segments of the posterior cerebral arteries was identified [Figure 2]. The aneurysm neck was clipped using a bayonet-type of mini-Yasargil clip. The postoperative investigation demonstrated successful clipping of the aneurysm without compromise of any perforator [Figure 3]. Though her neurological condition became stable and her rehabilitation was started, she expired due to aspiration pneumonia after several weeks.
Figure 1: Preoperative investigation. (a) A plain CT scan demonstrating subarachnoid hemorrhage. (b) The computed tomographic angiogram demonstrating a high-positioned basilar top aneurysm located 15 mm higher than the posterior clinoid prominence. (c) The sagittal MRI demonstrating the relationship between the location of the aneurysm and the approach route

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Figure 2: The operative image. (a) The floor of the third ventricle. (b) An illustration demonstrating the relation between the floor of the third ventricle and the vertebrobasilar arteries. (c) The final view of successful clipping

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Figure 3: (a) A postoperative CT demonstrating no postoperative infarction. (b) The postoperative computed tomographic angiogram demonstrating successful clipping of the aneurysm

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The sagittal view of the preoperative CT scan can help in the anatomical delineation of the floor of the third ventricle and in planning the approach to the aneurysm. The premamillary space in the ventral aspect of the mammillary bodies along the floor of the third ventricle is a safe surgical route because it is the same route used during the performance of an endoscopic third ventriculostomy. Saving the mammillary bodies is of utmost importance. For these high-positioned basilar top aneurysms, a trans-third ventricular approach was reported in the 1990s.[3],[4] At present, endovascular surgery, or the pterional, or subtemporal approaches are given priority as the initial modes of treatment.[1],[2] However, in difficult cases, a trans-third ventricular approach might be the approach of choice after a careful preoperative anatomical assessment has been made by the clinical imaging.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
1 Drake CG. Bleeding aneurysms of the basilar artery. Direct surgical management in four cases. J Neurosurg 1961;18:230-8.  Back to cited text no. 1
    
2.
Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD. Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol 1976;6:83-91.  Back to cited text no. 2
    
3.
Kodama N, Sasaki T, Sakurai Y. Trans-third ventricular approach for a high basilar bifurcation aneurysm. Report of three cases. J Neurosurg 1995;82:664-8.  Back to cited text no. 3
    
4.
Sano H, Kato Y, Hayakawa M, Akashi K, Kanno T. A Transcrista Galli, Translamina terminalis approach for highly placed basilar bifurcation aneurysms. Acta Neurochir (Wien) 1997;139:1020-5  Back to cited text no. 4
    


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  [Figure 1], [Figure 2], [Figure 3]



 

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