• Neurol. Med. Chir. (Tokyo) · Jan 2010

    Case Reports

    Aneurysm on the cortical branch (P4 segment) of the posterior cerebral artery. Case report.

    • Hitoshi Yamahata, Hiroshi Tokimura, Masashi Hirabaru, Hirofumi Hirano, and Kazunori Arita.
    • Department of Neurosurgery, Hokusatsu Hospital, Isa, Kagoshima. yamahata-nsu@umin.net
    • Neurol. Med. Chir. (Tokyo). 2010 Jan 1; 50 (12): 1084-7.

    AbstractA 75-year-old woman presented with a rare aneurysm on the distal portion (P(4)) of the posterior cerebral artery (PCA) causing subarachnoid hemorrhage (SAH) and manifesting as sudden onset of headache, nuchal rigidity, and nausea. Computed tomography on admission revealed thin SAH in the left parietooccipital sulcus. Cerebral angiography demonstrated a small saccular aneurysm on the cortical branch of the left PCA. The aneurysm was successfully clipped via the occipital interhemispheric approach. Distal PCA aneurysms frequently affect middle-aged persons and tend to be small, with good clinical course but may cause visual field defects. Direct aneurysm clipping is recommended for patients without visual defect from the onset. Parent artery occlusion by the endovascular technique should be considered for patients with visual loss caused by the initial hemorrhage.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…