Chinese Journal Of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (1): 10-12.

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Study on microsurgical anatomy and related approaches of apex of basilar artery

YIN Hao1, LIU Chuang-xi1, YOU-Chao2,ZHU Lei3, CHEN Hong-bin1, MA Jun1, HAN Guo-qiang1, GAO Fang-you1, WANG Chao1, WANG Qu1   

  1. 1. Department of Neurosurgery, Guizhou Provincial People's hospital, Guiyang Guizhou 550002, China; 2. Department of Neurosurgery, West China Hospital of Sichuan University, Chendu Sichuan 560041, China; 3. Department of Anatomy, Basic and forensic medicine college of Sichuan University, Chendu Sichuan 560041, China
  • Received:2012-04-12 Published:2013-01-29

Abstract:

Objective To study the neurosurgical microanatomy of approaches to the apex of the basilar artery to evaluate their exposure range. Methods 10 cranial cadaver (20 sides) were researched in simulative neurosurgical approaches. Petrional approach, subtemporal transtentorial approach and presigmoid approach were used to observe the apex of basilar artery, and the exposure range of the three approaches was compared. Their exposure range was evaluated subjectively. Results The minimum exposure distance of the petrional approach, the subtemporal transtentorial approach, the presigmoid approach was (63.85±2.54)mm, (66.58±2.03)mm,(66.01±1.41)mm, respectively. Exposure distance of the petrional approach was shortest, there was no statistic difference in the subjective scorings of the three approaches. Conclusion The best exposure approach of the apex of basilar artery is the pterional approach.

Key words: Apex of basilar artery, Microanatomy, Pterional approach, Subtemporal transtentorial approach, Presigmoid approach

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