Korean J Cerebrovasc Surg.  2006 Sep;8(3):210-213.

Dissecting Aneurysm of the Posterior Cerebral Artery Masquerading as Saccular Giant Aneurysm

Affiliations
  • 1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. jyahn@yumc.yonsei.ac.kr
  • 2Department of Neurosurgery, Pundang CHA Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea.

Abstract

The aneurysm nature and configuration in a giant aneurysm of the PCA is important and careful angiographic examination is needed. We present a case of dissecting aneurysm of the posterior cerebral artery masquerading as saccular giant aneurysm. A 17-year-old man presented with subarachnoid haemorrhage. Cerebral angiograms on admission showed a giant saccular aneurysm with wide neck at P1-P2 junction. The patient underwent endovascular coils embolization and extraventricular drainage of cerebrospinal fluid successfully. However, the patient was aggravated neurologically and got the rebleeding on postembolization 8 days. Repeat cerebral angiograms revealed dilated P1 segment with aneurysmal change of P2 segment. We report the angiographic feature and unusual clinical course and discuss the endovascular treatment of dissecting aneurysms.

Keyword

Cerebral aneurysm; Endovascular treatment; Posterior cerebral artery

MeSH Terms

Adolescent
Aneurysm*
Aneurysm, Dissecting*
Cerebrospinal Fluid
Drainage
Humans
Intracranial Aneurysm
Neck
Passive Cutaneous Anaphylaxis
Posterior Cerebral Artery*
Full Text Links
  • KJCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr