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Journal of Korean Neurosurgical Society 2002;31(5): 488-490.
Spontaneous Resolution of Dissecting Aneurysm Arising from the Posterior Cerebral Artery.
Sung Bae Park, Sung Don Kang
Department of Neurosurgery, School of Medicine, Wonkwang University, Iksan, Korea.
ABSTRACT
A case of isolated dissecting aneurysm of the posterior cerebral artery responsible for ischemic episode and subarachnoid hemorrhage is reported. Angiogram showed a fusiform dilatation of the P1-P2 segment of the right posterior cerebral artery. The dissecting aneurysm was disappeared spontaneously on follow-up angiogram. It is recommended that, in a subset of neurologically stable patient who represents fusiform dilatation angiographically, angiographic monitoring should be undertaken to assess the tendency for spontaneous resolution before planning of surgical intervention.
Key Words: Dissecting aneurysm; Posterior cerebral artery; Spontaneous resolution
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