Transclival Approach and Reconstruction for a Vertebrobasilar Artery Aneurysm.

Fastenberg, Judd H; Kravitz, Meryl B; Chaskes, Mark B; Pollack, Aron; Tong, Charles C; Golub, Danielle; Dowlati, Ehsasn; Patsalides, Athos et al. · Laryngoscope · 2026

case_report · Level V

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Abstract

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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