scholarly journals Asymptomatic Penetration of Oculomotor Nerve by Internal Carotid-Posterior Communicating Artery Aneurysm Presenting Pure Acute Subdural Hematoma: A Case Report

2018 ◽  
Vol 58 (4) ◽  
pp. 173-177 ◽  
Author(s):  
Ryota SASAKI ◽  
Yasushi MOTOYAMA ◽  
Ichiro NAKAGAWA ◽  
Young-Su PARK ◽  
Hiroyuki NAKASE
Keyword(s):  
Case Report ◽  
Subdural Hematoma ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Oculomotor Nerve ◽  
Posterior Communicating Artery ◽  
Acute Subdural Hematoma ◽  
Posterior Communicating Artery Aneurysm

Fenestrated Oculomotor Nerve Caused by Internal Carotid-Posterior Communicating Artery Aneurysm: Case Report

Neurosurgery ◽  
1997 ◽  
Vol 40 (2) ◽  
pp. 397-399 ◽  
Author(s):  
Tetsuyoshi Horiuchi ◽  
Kazuhiko Kyoshima ◽  
Fusakazu Oya ◽  
Shigeaki Kobayashi
Keyword(s):  
Case Report ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Oculomotor Nerve ◽  
Posterior Communicating Artery ◽  
Posterior Communicating Artery Aneurysm

An Operative Complication in a Patient with a True Posterior Communicating Artery Aneurysm: Case report and Review of the Literature

Neurosurgery ◽  
1990 ◽  
Vol 27 (4) ◽  
pp. 650-653 ◽  
Author(s):  
Tadashi Kudo
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Oculomotor Nerve ◽  
Posterior Communicating Artery ◽  
Review Of The Literature ◽  
Operative Complications ◽  
Posterior Communicating Artery Aneurysm ◽  
Aneurysmal Neck

Abstract Intraoperative oculomotor nerve injury in a patient with a true posterior communicating artery aneurysm is reported in detail. A comparison of internal carotid artery aneurysms at the posterior communicating artery junction with true posterior communicating artery aneurysms deserves special attention, because the vascular relationships of the aneurysm are more complex. A clip along the internal carotid artery does not occlude blood flow to the aneurysm, and the aneurysmal neck and the distal posterior communicating artery are closer to the oculomotor nerve. This is the 27th reported case of a true posterior communicating artery aneurysm. The incidence of true posterior communicating artery aneurysms ranges from 0.1 to 2.8% of all aneurysm patients. Such aneurysms constitute 4.6 and 11% of so-called posterior communicating aneurysms in two series. Difficulty associated with a preoperative diagnosis has been documented in at least 4 cases. An awareness of this rare aneurysm is stressed in order to avoid operative complications.

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