후대뇌동맥 원위부에 발생한 거대동맥류 1례 - 증례보고 -

A Case of the Giant Aneurysm in the Distal Portion of the Posterior Cerebral Artery - A Case Report -

  • 김재엽 (전북대학교 임상의학연구소, 전북대학교 의과대학/병원 신경외과학교실) ;
  • 최하영 (전북대학교 임상의학연구소, 전북대학교 의과대학/병원 신경외과학교실)
  • Kim, Jae-Yeoup (Research Institute for Clinical Medicine, Department of Neurosurgery, Chonbuk National University, Medical School Hospital) ;
  • Choi, Ha-Young (Research Institute for Clinical Medicine, Department of Neurosurgery, Chonbuk National University, Medical School Hospital)
  • 투고 : 2000.01.28
  • 심사 : 2000.04.10
  • 발행 : 2000.07.28

초록

The aneurysm arising from the posterior cerebral artery is relatively uncommon, and has been reported in 0.7- 2.2% of whole cerebral aneurysm. Moreover, only a few cases of the giant aneurysm over 2.5cm in diameter arising from the distal portion of the posterior cerebral artery have been reported. Neurologic complications may occur after surgical treatment of this aneurysm due to difficult surgical approach and neurovascular complexity around the brain stem. Authors experienced a case of the thrombosed giant aneurysm with approximately 2.7cm in diameter arising from the P2 segment of the left posterior cerebral artery. Complete removal of the thrombus in the aneurysmal sac and direct neck clipping was performed via left subtemporal approach.

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