AI Article Synopsis

  • Reports on surgical methods via the trans-lamina terminalis and trans-third ventricle are limited, with unknown associated risks.
  • After an unsuccessful endovascular surgery on a 78-year-old woman with a ruptured basilar tip aneurysm, direct surgical clipping was performed through the third ventricle.
  • The patient experienced transient hypothermia potentially linked to hypothalamic dysfunction, highlighting the need to understand the risk of hypothermia following these surgical approaches despite unclear mechanisms of hypothalamic thermoregulation.

Article Abstract

Reports on the trans-lamina terminalis and trans-third ventricular approach are rare. The risk associated with this approach is unknown. After an unsuccessful endovascular surgery, we performed direct surgical clipping via the third ventricle on a 78-year-old woman presenting with an extremely high-positioned, ruptured basilar tip aneurysm. She experienced transient hypothermia for 5 days, and it was considered that this was due to hypothalamic dysfunction. It is necessary to recognize that there is the potential for hypothermia after surgery via the lamina terminalis and third ventricle, even though the mechanisms of hypothalamic thermoregulation are still unclear.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857316PMC
http://dx.doi.org/10.1177/2050313X15578318DOI Listing

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