Surgical treatment of female patient with aneurysm of posterior choroids artery in acute period of hemorrhage
https://doi.org/10.17650/1683-3295-2013-0-2-95-97
Abstract
This case report describes the surgical treatment of female patient in acute period of hemorrhage from ruptured aneurysm of posterior choroid artery (PChA).This 17 years old female patient was admitted into our hospital with clinical signs of subarachnoid-parenchymal hemorrhage. Brain CT with intravenous contrast revealed the hemorrhage into medial parts of left temporal lobe and allowed surmising the vascular malformation. Cerebral angiography showed the cause of hemorrhage - aneurysm of PChA. The usage of frameless neuronavigation system allowed planning and accomplishing the least traumatic approach to aneurysm with removal of intracerebral hematoma and clipping of aneurysm. The full regress of neurological signs was seen in postoperative period.
About the Authors
V. S. Kolotvinov
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
V. P. Sakovich
ГБОУ ВПО УГМА
Russian Federation
Russian Federation
A. Ju. Shamov
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
A. A. Strakhov
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
A. S. Astashov
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
O. V. Marchenko
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
References
1. Fujii K., Lenkey C., Rhoton A.L. Jr. Microsurgical anatomy of the choroidal arteries: Lateral and third ventricles. // J Neurosurg. 1980; 52: 165-188.
2. Hamada J., Hashimoto N., Tsukahara T. Moyamoya disease with repeated intraventricular hemorrhage due to aneurysm rupture. // J Neurosurg. 1994; 80: 328-331.
3. Jafer A., Bendok B.R., Getch C.C., Gottardi-Littell N.R., Mindea S., Batjer H.H. Surgical management of a ruptured posterior choroidal intraventricular aneurysm associated with moyamoya disease using frameless stereotaxy: case report and review of the literature. // Neurosurgery. 2004; 54(4): 1019-24.
4. Kodama N., Suzuki J. Moyamoya disease associated with aneurysm. // J Neurosurg. 1978; 48: 565-569.
5. Kwak R., Yamamoto N., Ito S., Kadoya S. A case of moyamoya disease associated with a peripheral artery aneurysm of the thalamus. // No Shinkei Geka. 1984; 12: 1419- 1423.
6. Maekawa M., Nemoto S., Awaya S., Teramoto A. Moyamoya disease with intraventricular hemorrhage due to rupture of lateral posterior choroidal artery aneurysm: Case report. // No Shinkei Geka. 1999; 27: 1047-1051.
7. Margolis M.T., Newton T.H., Hoyt W.F. The posterior cerebral artery. II. Gross and roentgenographic anatomy, in Newton T.H., Potts D.G. (eds): Radiology of the Skull and Brain, vol II, book 2. St Louis, C.V. Mosby, 1974, p 1551-1579.
8. Neau J.P., Bogousslavsky J. The syndrome of posterior choroidal artery territory infarction. // Ann Neurol. 1996; 39: 779-788.
9. Niiro M., Awa H., Kobayashi E., Mihara T., Asakura T. Cerebral arteriovenous malformation co-existing with a cerebral aneurysm in the territory of the posterior choroidal artery: A case report with reference to considerations of occurrence. // No Shinkei Geka. 1980; 8: 659-665.
10. Ohta T., Ozava H., Yamauchi T., Kubokura T. Ruptured aneurysm of the medial posterior choroidal artery first demonstrated by the microcatheter technique. Case Report. // Neurol Med Chir (Tokyo). 2003; 43: 601-604.
11. Sayama I., Fukusawa H., Yasui N., Suzuki A. Angiographical extravasation in the intracranial hemorrhage due to cerebrovascular moyamoya disease: Autopsy study. // No To Shinkei. 1984; 36: 325-331.
12. Shibata K., Nishimura Y., Kondo H., Otuka K., Iwata M. Isolated homonymous hemianopsia due to lateral posterior choroidal artery region infarction: a case report. // Clin Neurol Neurosurg. 2009 Oct; 111(8): 713-716.
13. Vinace F.C., Lopez F., Dujovny M. Microsurgical anatomy of the posterior choroidal arteries. // Neurol Res. 1999; 17: 334-344.
14. Waga S., Tochio H. Intracranial aneurysm associated with moyamoya disease in childhood. // Surg Neurol. 1985; 23: 237- 243.
15. Weigele J.B., Chaloupka J.C., Lesley W.S., Mangla S., Hitchon P.W., VanGilder J.C., Adams H.P. Jr. Peripheral aneurysm of the lateral posterior choroidal artery: Clinical presentation and endovascular treatment: Report of two cases. // Neurosurgery. 2002; 50: 392-396.
16. Zeal A.A., Rhoton A.L. Jr. Microsurgical anatomy of the posterior cerebral artery. // J Neurosurg. 1978; 48: 534- 559.
Review
For citations:
Kolotvinov V.S., Sakovich V.P., Shamov A.J., Strakhov A.A., Astashov A.S., Marchenko O.V. Surgical treatment of female patient with aneurysm of posterior choroids artery in acute period of hemorrhage. Russian journal of neurosurgery. 2013;(2):95-97. (In Russ.) https://doi.org/10.17650/1683-3295-2013-0-2-95-97
Views:
366
Email this article 