RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.4103/ajns.AJNS_90_19
Contralateral transcondylar fossa approach with bilateral V3 segment exposure for clipping of vertebral artery aneurysm which deviates across midline: A case report and review article
![](https://www.thieme-connect.de/media/10.1055-s-00053244/201903/lookinside/thumbnails/10-4103-ajns-ajns-90-19_263980-1.jpg)
This article reports a patient with unruptured right vertebral artery aneurysm which deviates across the midline to the left side. The contralateral (left) transcondylar fossa approach with bilateral V3 exposure is used for aneurysm clipping. The literature related to this technique is also reviewed.
Financial support and sponsorship
Nil.
Publikationsverlauf
Artikel online veröffentlicht:
09. September 2022
© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Heros RC. Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg 1986;64:559-62.
- 2 Matsushima T, Fukui M. Lateral approaches to the foramen magnum: With special reference to the transcondylar fossa approach and the transcondylar approach. No Shinkei Geka 1996;24:119-24.
- 3 Matsushima T, Natori Y, Katsuta T, Ikezaki K, Fukui M, Rhoton AL. Microsurgical anatomy for lateral approaches to the foramen magnum with special reference to transcondylar fossa (supracondylar transjugular tubercle) approach. Skull Base Surg 1998;8:119-25.
- 4 Matsushima T, Kawashima M, Masuoka J, Mineta T, Inoue T. Transcondylar fossa (supracondylar transjugular tubercle) approach: Anatomic basis for the approach, surgical procedures, and surgical experience. Skull Base 2010;20:83-91.
- 5 Matsushima T, Matsukado K, Natori Y, Inamura T, Hitotsumatsu T, Fukui M, et al. Surgery on a saccular vertebral artery-posterior inferior cerebellar artery aneurysm via the transcondylar fossa (supracondylar transjugular tubercle) approach or the transcondylar approach: Surgical results and indications for using two different lateral skull base approaches. J Neurosurg 2001;95:268-74.
- 6 Tange Y, Uto A, Wachi A, Koike J. Transcondylar fossa approach to treat ventral foramen magnum meningioma – Case report. Neurol Med Chir (Tokyo) 2001;41:458-62.
- 7 Maeda K, Tanaka S, Miyazono M, Matsuo Y, Tokunaga S, Nagaoka S, et al. Contralateral suboccipital approach for clipping of an unruptured vertebral artery-posterior inferior cerebellar artery aneurysm. No Shinkei Geka 2014;42:35-40.
- 8 Taguchi Y, Hoshikawa Y, Tanaka K, Miyakita Y, Morishima H, Sekino H, et al. Contralateral transcondylar approach for aneurysms of the posterior inferior cerebellar artery-vertebral artery complex. J Clin Neurosci 1996;3:156-61.
- 9 Salcman M, Rigamonti D, Numaguchi Y, Sadato N. Aneurysms of the posterior inferior cerebellar artery-vertebral artery complex: Variations on a theme. Neurosurgery 1990;27:12-20.
- 10 Bragg TM, Duckworth EA. Contralateral far-lateral approach for clipping of a ruptured vertebral artery-posterior inferior cerebellar artery aneurysm. Neurosurg Focus 2008;25:E9.
- 11 Ota N, Tanikawa R, Miyama M, Miyazaki T, Kinoshita Y, Matsukawa H, et al. A contralateral transcondylar fossa approach with bilateral V3 segment exposure for repairing complex vertebral artery aneurysms. World Neurosurg 2017;99:340-7.
- 12 Morita A. Current perspectives on the unruptured cerebral aneurysms: Origin, natural course, and management. J Nippon Med Sch 2014;81:194-202.
- 13 Katsuno M, Tanikawa R, Uemori G, Kawasaki K, Izumi N, Hashimoto M, et al. Occipital artery-to-posterior inferior cerebellar artery anastomosis with multiple-layer dissection of suboccipital muscles under a reverse C-shaped skin incision. Br J Neurosurg 2015;29:401-5.
- 14 Palanisamy D, Yasuhiro Y, Kyosuke M, Tsukasa K, Katsumi T, Kato Y. Transcondylar fossa approach to unruptured vertebral artery and vertebral artery-posterior inferior cerebellar artery aneurysms: Surgical outcome. World Neurosurg 2018;119:e783-91.
- 15 Pai SB, Raghuram G, Keshav GC, Rodrigues E. Far-lateral transcondylar approach to anterior foramen magnum lesions – Our experience. Asian J Neurosurg 2018;13:651-5.
- 16 Rhoton AL Jr. The far-lateral approach and its transcondylar, supracondylar, and paracondylar extensions. Neurosurgery 2000;47:S195-209.
- 17 Ota N, Tanikawa R, Yoshikane T, Miyama M, Miyazaki T, Kinoshita Y, et al. Surgical microanatomy of the posterior condylar emissary vein and its anatomical variations for the transcondylar fossa approach. Oper Neurosurg (Hagerstown) 2017;13:382-91.