PMID: 11322121Apr 27, 2001Paper

Specific characteristics and management strategies of cerebral artery aneurysms: report of eleven cases

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
K KitazawaS Kobayashi

Abstract

Owing to the deep location of the posterior cerebral artery (PCA) and its close relationship with the brainstem and surrounding vital structures, surgical treatment of aneurysms in this region is complex. This study was undertaken in an attempt to better delineate the surgical risks of PCA aneurysms. A retrospective analysis was undertaken in 11 patients with PCA aneurysm surgically treated between 1988 and 1996 at Shinshu University and its affiliated hospitals. Data regarding surgical strategy, surgical complications and outcomes were analysed. Seven aneurysms were saccular (including one mycotic) and the other four were fusiform, dissecting, thrombosed and an infundibular dilatation. The locations of the aneurysms were at the P1 segment in two patients, P1-P2 junction in two, P2 segment in six and P3 segment in one. Six saccular non-mycotic aneurysms were treated with neck clipping and the other five aneurysms were treated each with proximal occlusion of the parent artery, excision of the aneurysm or wrapping. All aneurysms were satisfactorily exposed except one large saccular aneurysm. Surgical outcomes were either good recovery or moderate disability in 10 patients, and severe disability in one patient with a large aneurys...Continue Reading

Citations

Dec 31, 2014·Case Reports in Medicine·Paulo AguiarGustavo Isolan
May 15, 2015·Journal of Neurointerventional Surgery·Hidenori OishiHajime Arai
Nov 10, 2017·Interventional Neurology·Mohamed Wael OsmanLaurent Peirot
May 15, 2003·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·O SuzukiJ Yoshida

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