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Journal of Korean Neurosurgical Society > Volume 39(3); 2006 > Article
Journal of Korean Neurosurgical Society 2006;39(3): 192-197.
Posterior Cerebral Artery Aneurysm: Surgical Result of 11 Patients.
Che Kyu Ko, Il Young Shin, Jae Sung Ahn, Yang Kwon, Byung Duk Kwun, Jung Kyo Lee
Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. jsahn@amc.seoul.kr
Eleven patients treated with posterior cerebral artery(PCA) aneurysm during 6.3-years period are retrospectively reviewed to determine treatment outcome.
Eleven patients with PCA aneurysm were treated from January 1998 to May 2004. Their medical records and radiologic studies were reviewed retrospectively. The records of these patients were analysed with particular reference to their demographic details, mode of presentation, and treatment outcome.
Of the 11 patients, 8 patients presented with symptoms related aneurysmal bleeding. Three patients had unruptured PCA aneurysms. Open or endovascular surgery was performed in 9 patients; None of these patients exhibited a third nerve palsy, visual field deficit, or hemiparesis at the time of presentation. Postoperatively, 2 made a good recovery, 2 had a moderate disability because of cerebral infarction after surgery, and 5 had a severe disability because of cerebral infarction after surgery. Of 2 conservatively treated patients, 1 was doing well but the other died as a result of brain swelling.
The treatment of the PCA aneurysms is difficult regardless of the aneurysmal size, site, and treatment modality. All reasonable treatment to reduce the risk of associated morbidity should be considered.
Key Words: Posterior cerebral artery; Treatment outcome; Aneurysm
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