Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions

Research output: Contribution to journalArticle

275 Citations (Scopus)

Abstract

A modification of the unilateral suboccipital approach is elaborated and illustrated. This modification is useful for aneurysms of the vertebral artery, the vertebrobasilar junction, and the proximal basilar trunk, and for arteriovenous malformations of the inferolateral cerebellum. It entails extreme lateral removal of the rim of the foramen magnum toward the condylar fossa and posterolateral removal of the arch of the atlas toward the exposed vertebral artery. This extra bone removal allows an approach to the front of the brain stem from interolaterally, after gentle upward and medial retraction of the tonsil, with minimal or no retraction of the medulla.

Original languageEnglish
Pages (from-to)559-562
Number of pages4
JournalJournal of Neurosurgery
Volume64
Issue number4
StatePublished - Jan 1 1986
Externally publishedYes

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Vertebral Artery
Foramen Magnum
Atlases
Arteriovenous Malformations
Palatine Tonsil
Cerebellum
Brain Stem
Aneurysm
Bone and Bones

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. / Heros, Roberto.

In: Journal of Neurosurgery, Vol. 64, No. 4, 01.01.1986, p. 559-562.

Research output: Contribution to journalArticle

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