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V043: CRANIO-ORBITAL APPROACH WITH EXTRADURAL CLINOIDECTOMY FOR RUPTURED WIDE NECK VENTRAL ICA ANEURYSM
Matthew J Cotroneo, BS; Gurkirat S Kohli, MD; Nathaniel Ellens, MD; Catherine Jay, MD; Vincent N Nguyen, MD; University of Rochester Neurosurgery Department

A 72-year-old woman presented comatose with HH5F4 SAH and hydrocephalus due to ruptured left ventral ICA aneurysm with significant atherosclerotic stenosis of the supraclinoid ICA. A left cranio-orbital approach with anterior clinoidectomy permitted successful clipping of the aneurysm. Postoperative DSA confirmed that the left anterior choroidal artery remained patent and that the aneurysm was obliterated. At three-month follow-up, she is recovering at rehab and independent in most ADLs.

 

 

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