| Peripheral aneurysms of the lateral posterior choroidal artery: clinical presentation and endovascular treatment: report of two cases. | |
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MedLine Citation:
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PMID: 11844276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE AND IMPORTANCE: To describe the clinical presentation and endovascular management of peripheral aneurysms of the lateral posterior choroidal artery. Aneurysms in this location are exceptionally rare and optimal treatment may be difficult. CLINICAL PRESENTATION: Two patients with peripheral aneurysms of the distal portion of the lateral posterior choroidal artery presented with headaches from extensive intraventricular hemorrhage. INTERVENTION: Endovascular surgical therapy by use of superselective n-butylcyanoacrylate embolization of the aneurysm and adjacent distal parent artery was successful in both patients. CONCLUSION: Patients with peripheral aneurysms of the lateral posterior choroidal artery usually present with intraventricular hemorrhage. They may be difficult to treat by open surgical techniques owing to their intraventricular location and the frequent inability to preserve the parent artery by aneurysm clipping. Instead, it is typical that either proximal parent artery occlusion or aneurysm trapping must be used. An equivalent endovascular surgical technique may be an attractive alternative method of management. |
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Authors:
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John B Weigele; John C Chaloupka; Walter S Lesley; Sundeep Mangla; Patrick W Hitchon; John C VanGilder; Harold P Adams |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 50 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-02-14 Completed Date: 2002-04-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: 392-5; discussion 395-6 Citation Subset: IM |
Affiliation:
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Interventional Neuroradiology Service, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1077, USA. john-weigele@uiowa.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Catheterization, Peripheral / instrumentation* Choroid Plexus / blood supply* Diagnostic Imaging Embolization, Therapeutic / instrumentation* Enbucrilate / administration & dosage* Female Humans Intracranial Aneurysm / diagnosis, therapy* Middle Aged Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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6606-65-1/Enbucrilate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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