{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:55:11Z","timestamp":1777596911573,"version":"3.51.4"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Although endovascular management has been increasingly adopted for basilar apex aneurysms (BAAs), microsurgery still represents an amenable treatment option. In this case series, six female patients (median age: 46\u00a0years) with six saccular high-riding BAAs (50% ruptured) were included. The median neck size was 5.3\u00a0mm (range: 2.9\u20137.9), and the median length from base to dome was 7.25\u00a0mm (range: 5.2\u201311.4). Preoperative complications included hydrocephalus (22%) and rebleeding (22%). All patients underwent clipping with a pterional craniotomy with extension into the temporal bone base. Intraoperative aneurysm rupture occurred in one patient (17%). Postoperative complications occurred in two patients (34%), of which one died because of extensive cerebral vasospasm and hospital-acquired pneumonia. At the 6-month follow-up, all remaining patients had\u2009modified Rankin scale scores \u2264\u20092. Microsurgery remains a viable option for BAAs in limited-resource settings. Technical success depends on delicate tissue work, in-depth anatomical knowledge, and maneuverability in narrow corridors.<\/jats:p>","DOI":"10.1093\/jscr\/rjae720","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T23:53:08Z","timestamp":1732751588000},"source":"Crossref","is-referenced-by-count":2,"title":["Microsurgery for basilar apex aneurysms: a case series"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8427-2390","authenticated-orcid":false,"given":"Jos\u00e9 Luis","family":"Acha S\u00e1nchez","sequence":"first","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3661-7195","authenticated-orcid":false,"given":"Jhon E","family":"Bocanegra-Becerra","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery , School of Medicine, , Lima ,","place":["Peru"]},{"name":"Universidad Peruana Cayetano Heredia , School of Medicine, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Contreras Montenegro","sequence":"additional","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Cueva","sequence":"additional","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Bellido","sequence":"additional","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamir","family":"Contreras","sequence":"additional","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Santos","sequence":"additional","affiliation":[{"name":"Vascular Neurosurgery and Skull Base Division , Department of Neurosurgery, , Lima ,","place":["Peru"]},{"name":"Hospital Nacional Dos de Mayo , Department of Neurosurgery, , Lima ,","place":["Peru"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"2024112723525659800_ref1","doi-asserted-by":"publisher","DOI":"10.4103\/sni.sni_311_17","article-title":"Should we still consider clips for basilar apex aneurysms? 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