scholarly journals Distal Sciatic Nerve Compression by a Popliteal Artery Aneurysm

Author(s):  
Yves Beaudry ◽  
John D. Stewart ◽  
Lee Errett

ABSTRACT:A 77-year-old man developed progressive sensory and motor symptoms in the right lower leg. Examination showed neurological deficits in the distribution of the right tibial and common peroneal nerves. Swellings in both popliteal fossae were palpated. Investigation showed these to be large thrombosed aneurysms. On surgical examination on the right, the aneurysm was found to be compressing the distal sciatic nerve.

2019 ◽  
Vol 17 (6 (part 2)) ◽  
pp. 84-85
Author(s):  
M. V. Plotnikov ◽  
◽  
E. A. Gaysina ◽  
R. M. Nuretdinov ◽  
L. M. Muhametdinova ◽  
...  

Author(s):  
Heepeel Chang ◽  
Frank J. Veith ◽  
Caron B. Rockman ◽  
Jeffrey J. Siracuse ◽  
Glenn R. Jacobowitz ◽  
...  

2006 ◽  
Vol 106 (6) ◽  
pp. 679-683 ◽  
Author(s):  
H. Van Damme ◽  
G. Trotteui ◽  
A. Kerzmann ◽  
R. Limet

2018 ◽  
Vol 37 (03) ◽  
pp. 263-266
Author(s):  
Lucas Meguins ◽  
Linoel Valsechi ◽  
Ronaldo Fernandes ◽  
Dionei Morais ◽  
Antonio Spotti

Introduction Pericallosal artery (PA) aneurysms represent 2 to 9% of all intracranial aneurysms, and their management remains difficult. Objective The aim of the present study is to describe the case of an adult woman with subarachnoid hemorrhage and bilateral PA aneurysm in mirror position. Case Report A 46-year-old woman was referred to our institution 20 days after a sudden severe headache. She informed that she was treating her arterial hypertension irregularly, and consumed ∼ 20 cigarettes/day. The patient was neurologically intact at admission. A non-contrast computed tomography (CT) on the first day of the onset of the symptoms revealed hydrocephaly and subarachnoid hemorrhage (Fisher III). An angio-CT/digital subtraction arteriography showed bilateral PA aneurysms in mirror position. The patient was successfully treated with surgery via the right interhemispheric approach (because the surgeon is right-handed); the surgeon performed the proximal control with temporary clipping, and introduced an external ventricular drain at the end of the surgery. The patient was discharged on the fourth postoperative day without any additional neurological deficits or ventricular shunts. Conclusion Ruptured PA aneurysm is a surgically challenging aneurysm due to the many anatomical nuances and risk of rebleeding. However, the operative management of ruptured bilateral PA aneurysms is feasible and effective.


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