A total of 57 patients with basilar apex aneurysms were treated at our hospital from January 1990 to May 2011. The 57 patients were comprised of 18 male and 39 female patients aged from 31 to 81 years old (Mean age: 58.4 years old). Twenty nine cases were treated surgically and 28 cases underwent endovascular coiling. Medical and surgical records, postoperative
angiographies, and follow up angiographies were reviewed retrospectively. Basilar apex aneurysm remains the ultimate challenge to neurovascular surgeons. Mortality and morbidity of endovascular coiling cases was relatively lower than that of surgical cases.

• 하상우(조선대학교 의학전문대학원 신경외과학교실) | Sang Woo Ha
• 장석정(조선대학교 의학전문대학원 신경외과학교실) | Suk Jung Jang Corresponding author