Fusiform posterior cerebral artery aneurysm treated with excision and end-to-end anastomosis

1986 ◽  
Vol 64 (3) ◽  
pp. 501-504 ◽  
Author(s):  
Han Soo Chang ◽  
Takanori Fukushima ◽  
Shinichiro Miyazaki ◽  
Teruaki Tamagawa
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Fusiform Aneurysm ◽  
Pertinent Literature ◽  
Content Type ◽  
End To End ◽  
Cerebral Artery Aneurysm ◽  
Fine Print

✓ A case of a ruptured fusiform aneurysm of the posterior cerebral artery is reported. The aneurysm was excised and end-to-end anastomosis was carried out between the two ends of the posterior cerebral artery. There is no previous report of a posterior cerebral artery aneurysm treated with this technique. The pertinent literature is reviewed and the significance of this technique in the treatment of unclippable cerebral aneurysms is discussed.

Distal posterior cerebral artery aneurysm

1986 ◽  
Vol 64 (4) ◽  
pp. 669-672 ◽  
Author(s):  
Richard K. Simpson ◽  
Warren D. Parker
Keyword(s):  
Cerebral Artery ◽  
Ventriculoperitoneal Shunt ◽  
Neurological Deficit ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Postoperative Recovery ◽  
Saccular Aneurysm ◽  
Content Type ◽  
Cerebral Artery Aneurysm ◽  
Fine Print

✓ A case of an unusual distal posterior cerebral artery (PCA) aneurysm is presented. The saccular aneurysm arose from a fetal PCA distal to the posterior temporal branch of the P3 segment. The aneurysm was treated by placing a clip on the PCA distal to the anterior temporal branch of the P2 segment. A ventriculoperitoneal shunt was also placed. The patient's postoperative recovery was unremarkable and without residual neurological deficit. The highly unusual location of this aneurysm is discussed and the neurosurgical literature is reviewed in detail.

Interoptic course of the anterior cerebral artery associated with anterior cerebral artery aneurysm

1982 ◽  
Vol 56 (2) ◽  
pp. 302-304 ◽  
Author(s):  
Howard J. Senter ◽  
Daniel J. Miller
Keyword(s):  
Carotid Artery ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Optic Nerves ◽  
Content Type ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Fine Print

✓ A ruptured anterior cerebral artery aneurysm is reported in a patient in whom a solitary anterior cerebral artery arose from the proximal carotid artery and ascended between the optic nerves.

End-to-end anastomosis of the anterior cerebral artery after excision of a giant aneurysm

1982 ◽  
Vol 56 (4) ◽  
pp. 577-580 ◽  
Author(s):  
Robert R. Smith ◽  
Andrew D. Parent
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Giant Aneurysm ◽  
Fusiform Aneurysm ◽  
Content Type ◽  
Intracranial Arteries ◽  
End To End ◽  
Fine Print

✓ A case of a giant anterior cerebral artery fusiform aneurysm is presented. The lesion was treated by primary excision of the involved segment with an end-to-end anastomosis of the proximal-distal segments of the anterior cerebral artery. It is believed that this technique has not been reported previously for lesions involving major intracranial arteries.

Giant thrombosed aneurysm associated with an arteriovenous malformation

1978 ◽  
Vol 49 (2) ◽  
pp. 278-282 ◽  
Author(s):  
Bizhan Aarabi ◽  
John Chambers
Keyword(s):  
Arteriovenous Malformation ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Content Type ◽  
Thrombosed Aneurysm ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Fine Print

✓ The authors describe a case of giant anterior cerebral artery aneurysm associated with an anatomically related arteriovenous malformation (AVM). The aneurysm was almost completely thrombosed and was resected along with the AVM.

scholarly journals P.189 Unruptured Posterior Cerebral Artery aneurysm causing temporal lobe epilepsy

2021 ◽  
Vol 48 (s3) ◽  
pp. S74-S75
Author(s):  
M Fatehi Hassanabad ◽  
G Redekop ◽  
LS Yefet
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Cerebral Artery ◽  
Rare Case ◽  
Posterior Cerebral Artery ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Parahippocampal Gyrus ◽  
Temporal Lobe Seizures ◽  
Cerebral Artery Aneurysm

Background: Cerebral aneurysms are an unusal cause of epilepsy. To date, several groups have reported temporal lobe seizures caused by aneurysms projecting into the parahippocampal gyrus. Given the low incidence of posterior cerebral artery aneurysms, they are a very rare cause of temporal lobe seizures. Methods: Here, we report a rare case of temporal lobe epilepsy caused by an unruptured aneurysm. We also present a review of the literature yielding two similar cases. Results: A previosuly well 56 year old male presented to a neurologist with symptoms consistent with temporal lobe epilepsy. He was started on carbamzepine and underwent imaging and neuropsychological assessments. An MRI suggested the existance of a 7mm posterior cerebral artery aneurysm arising from the P2 segment of the posterior cerebral artery and projecting into the parahippocampal gyrus. This was also confirmed with CT angiography and the patient elected to have the aneurysm clipped. Conclusions: Temporal lobe epilepsy is an uncommon presentation for unruptured cerebral aneurysms. We report a rare case wherein a laterally pointing PCA aneurysm was buried in the posterior parahippocampal gyrus. This aneurysm had caused perifocal gliosis leading to stereotyped seizures. Post-operatively, the patient has been seizure free.

Ruptured distal middle cerebral artery aneurysm

2004 ◽  
Vol 100 (3) ◽  
pp. 384-388 ◽  
Author(s):  
Tetsuyoshi Horiuchi ◽  
Yuichiro Tanaka ◽  
Hisayoshi Takasawa ◽  
Takahiro Murata ◽  
Takehiro Yako ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
University Hospital ◽  
Content Type ◽  
Mca Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Ruptured Intracranial Aneurysms ◽  
Distal Middle Cerebral Artery ◽  
Fine Print

Object. Ruptured distal middle cerebral artery (MCA) aneurysms are uncommon, and their clinical and radiological features are poorly understood. To clarify characteristics of these lesions, the authors undertook a retrospective analysis of nine patients with ruptured distal MCA aneurysms. Methods. The medical records of patients who underwent surgical repair of ruptured intracranial aneurysms between 1988 and 2002 at Shinshu University Hospital and its affiliated hospitals were retrospectively evaluated. The authors found only nine patients with a ruptured distal MCA aneurysm, and their clinical, neuroimaging, and intraoperative findings were evaluated. Conclusions. This study of nine patients with distal MCA aneurysms is the largest series to date. Eight lesions were saccular aneurysms that were clipped and the remaining one was a mycotic aneurysm that was trapped. Eight of the nine patients suffered cerebral hematomas with subarachnoid hemorrhage. All patients had good outcomes after obliteration of their aneurysm, although their preoperative condition was not good.

Spontaneous thrombosis in agiant middle cerebral artery aneurysm

1972 ◽  
Vol 37 (3) ◽  
pp. 361-363 ◽  
Author(s):  
R. Michael Scott ◽  
H. Thomas Ballantine
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Left Middle Cerebral Artery ◽  
Content Type ◽  
Complete Thrombosis ◽  
Cerebral Artery Aneurysm

✓ Five-year follow-up angiography in a woman with an untreated giant aneurysm of the left middle cerebral artery revealed complete thrombosis of the aneurysm. Her case suggests that certain asymptomatic giant cerebral aneurysms may be treated without surgery.

Intermittent appearance of a ruptured cerebral aneurysm on sequential angiograms

1980 ◽  
Vol 52 (2) ◽  
pp. 263-265 ◽  
Author(s):  
George L. Bohmfalk ◽  
Jim L. Story
Keyword(s):  
Cerebral Aneurysm ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Content Type ◽  
The Third ◽  
Incomplete Filling ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Fine Print

✓ The change in size of a ruptured anterior cerebral artery aneurysm was recorded in a series of angiograms. The aneurysm did not appear on the initial angiogram, but was seen on the second study. Incomplete filling was seen on the third angiogram, and the aneurysm appeared to have thrombosed on the fourth angiogram. On the fifth angiogram, done 5 weeks after the first, the aneurysm filled completely. It was subsequently clipped.

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