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Titlebook: Surgery of Vertebrobasilar Aneurysms; London, Ontario Expe Charles G. Drake,Sydney J. Peerless,Juha A. Hernes Book 1996 Springer-Verlag/Wie

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Analysis of Operative Morbidity in Basilar Bifurcation Aneurysms: Small and Large (Non-Giant): 758 Operative complications specific for non-giant basilar bifurcation aneurysms were chiefly mid-brain and/or thalamic infarction from perforator injury or occlusion, inadvertent intraoperative rupture, imperfect clipping with early rerupture, and frequent but nearly always transient third cranial nerve paresis (Tables 5.1 to 5.8).
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Giant Basilar-Superior Cerebellar Artery Aneurysms: 56 Patients,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).
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Midbasilar Trunk Aneurysms: 44 Patients,There is a distinct group of aneurysms which arise from the basilar artery trunk . the origins of the superior and anterior inferior cerebellar arteries. These and basilar-AICA aneurysms are the rarest on the basilar circulation in this series, 44 and 41 respectively.
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Giant Basilar Trunk Aneurysms: 59 Patients,Since the original 13 cases were described and illustrated (Fig. 11.1) another 46 patients with giant truncal aneurysms have been operated upon for a total of 59 cases.
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Giant Posterior Cerebral Aneurysms: 66 Patients,Since the illustration and description of the first 13 aneurysms (Fig. 17.1), another 53 have been operated upon. Altogether 39 have arisen from the P1 or the P1–P2 junction, 20 from the P2, and 7 from the P3 or P4 portion of the artery (Table 17.2).
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Small Aneurysms at the Bifurcation of the Basilar Artery 493 Patients,rysms. The majority are saccular, but a few (< 1%) are fusiform in origin. This aneurysm has proved to be the most difficult of all intracranial aneurysms, surgeons having taken a decade longer to reduce its surgical morbidity to near that of any on the anterior circulation.
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