Browse > Article

Posterior Cerebral Artery Aneurysm : Surgical Result of 11 Patients  

Ko, Che-Kyu (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Shin, Il-Young (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Kwon, Yang (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Lee, Jung-Kyo (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
Publication Information
Journal of Korean Neurosurgical Society / v.39, no.3, 2006 , pp. 192-197 More about this Journal
Abstract
Objective : Eleven patients treated with posterior cerebral artery[PCA] aneurysm during 6.3-years period are retrospectively reviewed to determine treatment outcome. Methods : Eleven patients with PCA aneurysm were treated from January 1998 to May 2004. Their medical records and radiologic studies were reviewed retrospectively. The records of these patients were analysed with particular reference to their demographic details, mode of presentation, and treatment outcome. Results : Of the 11 patients, 8 patients presented with symptoms related aneurysmal bleeding. Three patients had unruptured PCA aneurysms. Open or endovascular surgery was performed in 9 patients; None of these patients exhibited a third nerve palsy, visual field deficit, or hemiparesis at the time of presentation. Postoperatively, 2 made a good recovery, 2 had a moderate disability because of cerebral infarction after surgery, and 5 had a severe disability because of cerebral infarction after surgery. Of 2 conservatively treated patients, 1 was doing well but the other died as a result of brain swelling. Conclusion : The treatment of the PCA aneurysms is difficult regardless of the aneurysmal size, site, and treatment modality. All reasonable treatment to reduce the risk of associated morbidity should be considered.
Keywords
Posterior cerebral artery; Treatment outcome; Aneurysm;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Drake CG : Giant intracranial aneurysms : Experience with surgical treatment in 174 patients. Clin Neurosurg 26 : 12-95, 1979   DOI
2 Gerber CJ, Neil-Dwyer G, Evans BT : An alternative surgical approach to aneurysms of the posterior cerebral artery. Neurosurgery 32 : 928- 931, 1993   DOI   ScienceOn
3 Hallacq P, Piotin M, Moret J : Endovascular occlusion of the posterior cerebral artery for the treatment of P2 segment aneurysms : retrospective review of a 10-year series. AJNR Am J Neuroradiol 23 : 1128-1136, 2002
4 Morly TP, Barr HWK : Giant intracranial aneurysms : dianosis, course and management. Clin Neurosurg 16 : 73-94, 1968
5 Sugita K : Aneurysms of the posterior circle of willis in Sugita K : Microsurgical atlas, Berlin : Springer-Verlag, 1988, pp62-134
6 Suzuki J, Hori S, Sakurai Y : Intracranial aneurysms in the neurosurgical clinics in the Japan. J Neurosurg 35 : 34-39, 1971   DOI
7 Yang JW, You Sh, Hong SC, Kim JS, Roh HG, Byun HS : Experience of endovascular treatment of distal posterior cerebral artery aneurysms. J Korean Neurosurg Soc 34 : 428-432, 2003
8 Zeal AA, Rhoton AL : Microsurgical anatomy of the posterior cerebral artery. J Neurosurg 48 : 534-559, 1978   DOI
9 Locksley HB : Report of cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section V, part II. Natural history of subarachnoid hemorrahage, intracanial aneurysms and arteriovenous malformations based on 6368 cases in the cooperative study. J Neurosurg 25 : 321-368, 1966   DOI
10 Terasaki S, Sawamura Y, Kamiyama H, Fukushima T : Surgical approaches for the treatment of aneurysms on the P2 segment of the posterior cerebral artery. Neurosurgery 47 : 359-366, 2000   DOI
11 Drake CG, Peerless SJ, Hernesniemi JA : Surgery of Vertebrobasilar Aneurysms, New York : Springer-Verlag, 1996, pp 221-248
12 Pia HW, Fontana H : Aneurysms of the posterior cerebral artery. Locations and clinical pictures. Acta Neurochir (Wien) 38 : 13-35, 1977   DOI
13 Yasargil MG, Antic J, Laciga R, Jain KK, Hodoshi RM, Smith RD : Microsurgical approach to aneurysms of the basilar bifurcation. Surg Neurol 6 : 83-91, 1976
14 Chang HS, Fukushima T, Takakura K, Shimizu T : Aneurysm of the posterior cerebral artery : report of ten cases. Neurosurgery 19 : 1006- 1011, 1986   DOI
15 Drake CG : The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26 : 96-144, 1979   DOI
16 Sakata S, Fujii K, Matsushima T, Fujiwara S, Fukui M, Matsubara T, et al : Aneurysm of the posterior cerebral artery : report of eleven cases -surgical approaches and procedures. Neurosurgery 32 : 163-167, 1993   DOI   ScienceOn
17 Hamada J, Morioka M, Yano S, Todaka T, Kai Y, Kuratsu J : Clinical features of aneurysms of the posterior cerebral artery : a 15-year experience with 21 cases. Neurosurgery 56 : 662-670, 2005   DOI
18 Ciceri EF, Klucznik RP, Grossman RG, Rose JE, Mawad ME : Aneurysms of the posterior cerebral artery : classification and endovascular treatment. AJNR Am J Neuroradiol 22 : 27-34, 2001
19 Drake CG : Treatment of aneurysms of the posterior cranial fossa. Prog Neurol Surg 9 : 122-194, 1979
20 Drake CG, Amacher AL : Aneurysms of the posterior cerebral artery. J Neurosurg 30 : 468-474, 1969   DOI
21 Neil-Dwyer G, Sharr M, Haskell R, Currie D, Hosseini M : Zygomaticotemporal approach to the basis cranii and basilar artery. Neurosurgery 23 : 20-22, 1988   DOI
22 Yasargil MG : Microneurosurgery. Stuttgart : Thieme, 1984, vol 2, pp 260-269
23 Ferrante L, Acqui M, Trillo G, Lunardi P, Fortuna A : Aneurysms of the posterior cerebral artery : do they present specific characteristics? Acta Neurochir (Wien) 138 : 840-852, 1996   DOI