Document Detail


Peripheral aneurysms of the lateral posterior choroidal artery: clinical presentation and endovascular treatment: report of two cases.
MedLine Citation:
PMID:  11844276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  50     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-14     Completed Date:  2002-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392-5; discussion 395-6     Citation Subset:  IM    
Affiliation:
Interventional Neuroradiology Service, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1077, USA. john-weigele@uiowa.edu
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MeSH Terms
Descriptor/Qualifier:
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:
6606-65-1/Enbucrilate

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


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