Endoscopic repair successfully treats a left vertebrobasilar artery aneurysm, highlighting surgical challenges in reconstruction.
Endoscopic repair of reconstruction at the craniocervical junction is sparsely described and remains a rather challenging procedure. The presented case details a unique case of a left vertebrobasilar artery de novo aneurysm that was successfully treated via an expanded endonasal transclival approach with a rhinopharyngeal flap. The rhinopharyngeal flap aids in both exposure and reconstruction at the craniocervical junction.
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Fastenberg et al. (2025) studied this question.
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