{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:20:03Z","timestamp":1740165603871,"version":"3.37.3"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The International Subarachnoid Aneurysm Trial led to a shift from clipping to endovascular coiling as the primary therapy for cerebral aneurysm particularly in the management of posterior circulation aneurysm. However, endovascular therapy is often unavailable in low-resource settings, emphasizing the importance of maintaining surgical skill sets in resource-poor countries. This article presents a detailed case report on the successful microneurosurgical management of a 65-year-old female with a history of headache and weakness with past history of hypertension and a right posterior cerebral artery territory infarct who was diagnosed with a ruptured aneurysm situated within the intracranial vertebral artery. Patient was operated with the far lateral approach and clipping of the aneurysm. This case report elucidates the intricate surgical techniques employed, and the challenges neurosurgeons encountered in treating posterior circulation intracranial aneurysms, particularly those with ruptured complications. The aneurysms' intricate anatomy and increased rupture risk necessitate a meticulous microneurosurgical approach. The severity of subarachnoid hemorrhage from ruptured aneurysms increases morbidity and mortality rates.<\/jats:p>","DOI":"10.1055\/s-0044-1786704","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T22:40:57Z","timestamp":1715294457000},"page":"321-326","source":"Crossref","is-referenced-by-count":0,"title":["Microneurosurgery for Ruptured Aneurysm of Distal Intracranial Vertebral Artery: A Case Report"],"prefix":"10.1055","volume":"19","author":[{"given":"Tushar V.","family":"Soni","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7233-194X","authenticated-orcid":false,"given":"Shreyansh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varshesh","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandip","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirav","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.nic.2006.05.001","article-title":"Intracranial aneurysms: an overview","volume":"16","author":"F Bonneville","year":"2006","journal-title":"Neuroimaging Clin N Am"},{"key":"ref2","first-page":"1879","volume-title":"Posterior inferior cerebellar artery vertebral artery aneurysms","author":"J I Ausman","year":"1993"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1161\/01.STR.28.3.660","article-title":"Case-fatality rates and functional outcome after subarachnoid hemorrhage: a systematic review","volume":"28","author":"J W Hop","year":"1997","journal-title":"Stroke"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1212\/WNL.45.5.871","article-title":"Sudden death from aneurysmal subarachnoid hemorrhage","volume":"45","author":"W I Schievink","year":"1995","journal-title":"Neurology"},{"key":"ref5","first-page":"1103","volume-title":"Surgical management of vertebral-PICA aneurysms","author":"D J Day","year":"1995"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/0090-3019(90)90188-U","article-title":"Transcerebellar thrombectomy for the successful clipping of thrombosed giant vertebral artery-posterior inferior cerebellar artery aneurysm: case report","volume":"33","author":"Y Kurokawa","year":"1990","journal-title":"Surg Neurol"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"374","DOI":"10.3171\/jns.1997.87.3.0374","article-title":"Endovascular treatment of ruptured posterior circulation aneurysms using electrolytically detachable coils","volume":"87","author":"D A Nichols","year":"1997","journal-title":"J Neurosurg"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1136\/neurintsurg-2019-015418","article-title":"Treatment and diagnosis of cerebral aneurysms in the post-International Subarachnoid Aneurysm Trial (ISAT) era: trends and outcomes","volume":"12","author":"E Luther","year":"2020","journal-title":"J Neurointerv Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/0090-3019(88)90100-0","article-title":"Giant peripheral aneurysm of the posterior inferior cerebellar artery treated with excision and end-to-end anastomosis","volume":"30","author":"J R Madsen","year":"1988","journal-title":"Surg Neurol"},{"key":"ref10","first-page":"2357","volume-title":"The far lateral inferior suboccipital approach","author":"R C Heros","year":"1996"},{"volume-title":"Surgical management of posterior circulation aneurysms: defining the role of microsurgery in contemporary endovascular era","year":"2012","author":"L Lai","key":"ref11"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S1474-4422(09)70080-8","article-title":"Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up","volume":"8","author":"A J Molyneux","year":"2009","journal-title":"Lancet Neurol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s41016-019-0163-x","article-title":"Clipping versus coiling in posterior circulation intracranial aneurysms: a meta-analysis","volume":"5","author":"E Tsianaka","year":"2019","journal-title":"Chin Neurosurg J"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1786704.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:35:53Z","timestamp":1730817353000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1786704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":13,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,7,5]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1786704","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"type":"print","value":"1793-5482"},{"type":"electronic","value":"2248-9614"}],"subject":[],"published":{"date-parts":[[2024,5,9]]}}}