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To explore the surgical approach, technique and clinical effect of treating basilar bifurcation aneurysms. The clinical data of basilar bifurcation aneurysms treated by neuro-microsurgery are retrospectively analyzed in from September 2013 to September 2018. The aneurysms were treated via subtemporal approach and frontotemporal approach. The results were evaluated according to Glasgow Outcome Scores (GOS) and postoperative imaging results. There were 28 aneurysms located at the bifurcation of basilar artery in 27 patients and 1 case ha