Home > Journals > Chirurgia > Past Issues > Chirurgia 2014 October;27(5) > Chirurgia 2014 October;27(5):301-3

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

CHIRURGIA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

 

CASE REPORTS  


Chirurgia 2014 October;27(5):301-3

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English

True posterior communicating artery aneurysm presenting with subarachnoid and intracerebral hemorrhage: radiological and pathological analyses

Nomura M. 1, Mori K. 1, Tamase A. 1, Kamide T. 1, Kitamura Y. 1, Seki S. 1, Shima H. 1, Yanagimoto K. 2

1 Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan;
2 Department of Pathology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan


PDF  


We report a patient with a ruptured true posterior communicating artery aneurysm presenting with subarachnoid and intracerebral hemorrhage. A 71-year-old woman suddenly lost consciousness. Computed tomography showed subarachnoid hemorrhage and intracerebral hematoma in the left temporal lobe. Contrast-enhanced computed tomography showed an aneurysm of the left posterior communicating artery. Intraoperative observation revealed that the aneurysm originated from the trunk of the posterior communicating artery, and was buried in the temporal lobe. The aneurysm neck was clipped successfully before exposure of the dome to prevent rupture. Then, the aneurysm dome was dissected from the surrounding brain. Pathological examination of the aneurysm demonstrated a fresh thrombus in the aneurysm cavity. In this report, clinical and pathological characteristics of a true posterior communicating artery aneurysm are discussed.

top of page

Publication History

Cite this article as

Corresponding author e-mail