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- N W Knuckey, M H Epstein, R Haas, and F Sparadeo.
- Department of Neurosurgery, Rhode Island Hospital, Brown University, Providence.
- Neurosurgery. 1988 Jun 1;22(6 Pt 1):1084-7.
AbstractDistal anterior choroidal artery aneurysms with intraventricular hemorrhage are rare and difficult to treat. We report the case of a 46-year-old woman with a left distal anterior choroidal artery aneurysm presenting as a typical subarachnoid hemorrhage from which she had no focal neurological signs. Because the aneurysm was located within the dominant deep temporal lobe, we used intraoperative computed tomography to guide a probe to the aneurysm to allow minimal dissection. This is the first report of a successfully treated distal anterior choroidal artery aneurysm. Reports of this unusual aneurysm and methods of approaching deep temporal lesions are reviewed.
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