Document Detail


Occlusion of the posterior communicating artery mimicking cerebral aneurysm: case report.
MedLine Citation:
PMID:  12866206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a rare case of posterior communicating artery occlusion mimicking a cerebral aneurysm. A 62-year-old man was admitted to Towakai Hospital with sudden onset of left motor weakness. He had developed thunderclap headache five days before. Computed tomographic scan and lumbar tap were negative for subarachnoid hemorrhage (SAH). Digital subtraction angiography and three-dimensional computed angiography showed aneurysmal protrusion at the junction of the right internal carotid (IC) artery and posterior communicating artery (PcomA). Because minor bleeding from IC-PcomA junction aneurysm was strongly suspected, a pterional craniotomy was performed. At surgery, there was no evidence of SAH but the PcomA was occluded at the peripheral portion. Several perforators arose from the proximal portion of the PcomA. An aneurysmal protrusion especially without a prominent PcomA does not always indicate an IC-PcomA aneurysm. In diagnosing protruding vascular lesions at the bifurcation between the IC-PcomA, not only infundibular dilatation but also occlusion of the PcomA should be considered if the PcomA is not visualized.
Authors:
Masahiro Kawanishi; Ichiro Sakaguchi; Hiroji Miyake
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurological research     Volume:  25     ISSN:  0161-6412     ISO Abbreviation:  Neurol. Res.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-17     Completed Date:  2003-08-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7905298     Medline TA:  Neurol Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  543-5     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Ijinnkai Takeda General Hospital, 28-1, Ishidamoriminamimachi, Hushimiku, Kyoto, Japan. masahiro.kawanishi@nifty.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Angiography, Digital Subtraction
Arterial Occlusive Diseases / pathology*,  surgery
Carotid Artery, Internal / pathology
Diagnosis, Differential
Humans
Intracranial Aneurysm / pathology*
Male
Middle Aged
Posterior Cerebral Artery / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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