Totally thrombosed giant P2 aneurysm: a case report and review of literature
The diagnosis and treatment of intracranial saccular giant aneurysms is still difficult despite developments in neuroradiology, neuroanesthesiology and micro-neurosurgery. These aneurysms are usually located on major intracranial arteries and are rarely on distal branches of these arteries. An extra...
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Veröffentlicht in: | Journal of clinical neuroscience 2003, Vol.10 (1), p.115-120 |
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description | The diagnosis and treatment of intracranial saccular giant aneurysms is still difficult despite developments in neuroradiology, neuroanesthesiology and micro-neurosurgery. These aneurysms are usually located on major intracranial arteries and are rarely on distal branches of these arteries. An extra-axial 4×5 cm mass lesion in the left mediobasal temporal region was detected on the CT and MRI examinations of a 37 year old male patient who was admitted to our institution with headache and slight right-sided hemiparesis lasting for 2 months. The lesion was avascular on angiography. Surgery proved that the lesion was a totally thrombosed giant aneurysm of the P2 segment of posterior cerebral artery (PCA). The P2 segment was clipped proximal to the aneurysm with pterional-transsylvian approach and the aneurysm was totally excised. Giant aneurysms of the P2 segment are rare and 15 cases have been reported in the literature. This report presents a rarely seen totally thrombosed giant P2 aneurysms and discusses the difficulties in diagnosis and treatment. |
doi_str_mv | 10.1016/S0967-5868(02)00276-X |
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subjects | Adult Biological and medical sciences Cerebral Angiography giant Humans Intracranial Aneurysm - complications Intracranial Aneurysm - diagnosis Magnetic Resonance Imaging Male Medical sciences Neurology posterior cerebral artery thrombosed aneurysm Thrombosis - complications Thrombosis - diagnosis Tomography, X-Ray Computed Tropical medicine Vascular diseases and vascular malformations of the nervous system |
title | Totally thrombosed giant P2 aneurysm: a case report and review of literature |
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