A new modified technique of cervical open-door laminoplasty described herein offers some solutions to the problems associated with conventional techniques of cervical laminoplasty.

AAI progression and mass enlargement were our primary concerns for this surgical option; however, C1 laminectomy did not cause severe AAI progression, no patients showed serious mass enlargement, and all patients demonstrated neurological improvement. This surgical strategy is beneficial especially for elderly patients given the risks of other surgical options that use an anterior transoral approach or posterior fusion.

Objective:The authors present a case with persistent primitive hypoglossal artery (PPHA) associated with a ruptured basilar aneurysm. Clinical presentation: A 58-year-old woman with subarachnoid hemorrhage (SAH) was admitted to our hospital. Her neurological condition was Grade III (Hunt and Kosnic). Cerebral angiography revealed a PPHA and a saccular aneurysm at the tip of the basilar artery. The aneurysm was successfully embolized with GDC coils through the PPHA. After a ventriculo-peritoneal shunt for hydrocephalus, the patient was discharged without any neurological defi cit. Conclusion:The aneurysm at the basilar artery associated with PPHA can be safely treated with coil embolization through the PPHA.

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