Öz
A 41-year-old female was admitted with a diagnosis of spontaneous subarachnoid heamorrhage. Computarise cranial tomography showed hiperdens areas in basal cistern like a subarachnoid heamorrhagea. Digital substraction angiography showed a saccular aneurysm on the distal left posterior inferior cerebellar artery. Left subocccipital craniektomy was performed by median vertical incision. Distal localized PICA aneurysm was seen and clipped. Distal PICA aneurysms aneurysm is a rare and distal PICA aneurysms were the best method of treatment of the aneurysm clip and the removal from circulation.
Anahtar Kelimeler
Subarachnoid hemorrhage aneurysm posterior inferior cerebellar artery surgery
Kaynakça
- Peerless S, Drake CG. Management of aneurysms of posterior circulation. In: Youmans JR, (ed.) Neurological surgery: a comprehensive reference guide to the diagnosis and management of neurosurgical problems. cilt 3, 2. baskı. Philadelphia: W.B. Saunders 1982; 1715-63.
- Locksley HB. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 1966; 25: 219-39.
- Salcman M, Rigamonti D, Numaguchi Y, Sadato N.Aneurysms of the posterior inferior cerebellar artery-vertebral artery complex: variations on a theme. Neurosurgery 1990; 27: 12-20.
- Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, GarciaBengochea F. Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 1983; 58: 381-7.
- Nishizaki T, Tamaki N, Nishida Y, Fujita K, Matsumoto S.Aneurysms of the distal posterior inferior cerebellar artery: experience with three cases and review of the literature. Neurosurgery 1985; 16: 829-32.
- Horowitz M, Kopitnik T, Landreneau F, Krummerman J, Batjer HH, Thomas G, Samson D. Posteroinferior cerebellar artery aneurysms: surgical results for 38 patients. Neurosurgery 1998; 43: 1026-32.
- Park JS, Lee TH, Seo EK, Cho YJ. Aneurysms of distal posterior inferior cerebellar artery. J Korean Neurosurg Soc 2008; 44: 205-10.
- Sugiyama S, Fujimura M, Inoue T, Shimizu H, Watanabe M, Tominaga T. Ruptured aneurysm of a posterior inferior cerebellar artery communicating artery. Case report and histological findings. Neurol med chir (Tokyo) 2012; 52: 81-3. Yasargil MG. Vertebrobasiller aneurysms. In Yasargil MG. Microneurosurgery, Vol New York: Thieme-Stratton 1984: 232-5.
- Horiuchi T, Tanaka Y, Hongo K, Nitta J, Kusano Y, Kobayashi S. Characteristics of distal posteroinferior cerebellar artery aneurysms. Neurosurgery 2003; 53: 589Anegawa S, Hayashi T, Torigoe R, Nakagawa S, Furukawa Y, Tomokiyo M. Aneurysms of the distal posterior inferior cerebellar artery--analysis of 14 aneurysms in 13 cases. No Shinkei Geka 2001; 29: 121-9.
Öz
Özet
Kırk bir yaşında bayan hasta spontan subaraknoid hemoraji tanısı ile servisimize yatırıldı. Bilgisayarlı beyin tomografisinde bazal sisternlerde subaraknoid kanama ile uyumlu hiperdens alanlar görüldü. Çekilen serebral anjiografide sol PICA'da distal yerleşimli sakküler anevrizma tespit edildi. Hastaya median vertikal insizyon ile sol suboksipital kraniyektomi uygulandı. Distal yerleşimli PICA anevrizması görülerek klipe edildi. Distal PICA anevrizmaları nadir görülen anevrizmalardır ve distal PICA anevrizmalarında en iyi tedavi yöntemi anevrizmanın klipe edilerek dolaşımdan uzaklaştırılmasıdır.
Anahtar sözcükler: Subaraknoid hemoraji, anevrizma, posterior inferior serebelar arter, cerrahi
Abstract
A 41-year-old female was admitted with a diagnosis of spontaneous subarachnoid heamorrhage. Computarise cranial tomography showed hiperdens areas in basal cistern like a subarachnoid heamorrhagea. Digital substraction angiography showed a saccular aneurysm on the distal left posterior inferior cerebellar artery. Left subocccipital craniektomy was performed by median vertical incision. Distal localized PICA aneurysm was seen and clipped. Distal PICA aneurysms aneurysm is a rare and distal PICA aneurysms were the best method of treatment of the aneurysm clip and the removal from circulation.
Keywords: Subarachnoid hemorrhage, aneurysm, posterior inferior cerebellar artery, surgeryAnahtar Kelimeler
Subaraknoid hemoraji anevrizma posterior inferior serebelar arter cerrahi
Kaynakça
- Peerless S, Drake CG. Management of aneurysms of posterior circulation. In: Youmans JR, (ed.) Neurological surgery: a comprehensive reference guide to the diagnosis and management of neurosurgical problems. cilt 3, 2. baskı. Philadelphia: W.B. Saunders 1982; 1715-63.
- Locksley HB. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 1966; 25: 219-39.
- Salcman M, Rigamonti D, Numaguchi Y, Sadato N.Aneurysms of the posterior inferior cerebellar artery-vertebral artery complex: variations on a theme. Neurosurgery 1990; 27: 12-20.
- Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, GarciaBengochea F. Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 1983; 58: 381-7.
- Nishizaki T, Tamaki N, Nishida Y, Fujita K, Matsumoto S.Aneurysms of the distal posterior inferior cerebellar artery: experience with three cases and review of the literature. Neurosurgery 1985; 16: 829-32.
- Horowitz M, Kopitnik T, Landreneau F, Krummerman J, Batjer HH, Thomas G, Samson D. Posteroinferior cerebellar artery aneurysms: surgical results for 38 patients. Neurosurgery 1998; 43: 1026-32.
- Park JS, Lee TH, Seo EK, Cho YJ. Aneurysms of distal posterior inferior cerebellar artery. J Korean Neurosurg Soc 2008; 44: 205-10.
- Sugiyama S, Fujimura M, Inoue T, Shimizu H, Watanabe M, Tominaga T. Ruptured aneurysm of a posterior inferior cerebellar artery communicating artery. Case report and histological findings. Neurol med chir (Tokyo) 2012; 52: 81-3. Yasargil MG. Vertebrobasiller aneurysms. In Yasargil MG. Microneurosurgery, Vol New York: Thieme-Stratton 1984: 232-5.
- Horiuchi T, Tanaka Y, Hongo K, Nitta J, Kusano Y, Kobayashi S. Characteristics of distal posteroinferior cerebellar artery aneurysms. Neurosurgery 2003; 53: 589Anegawa S, Hayashi T, Torigoe R, Nakagawa S, Furukawa Y, Tomokiyo M. Aneurysms of the distal posterior inferior cerebellar artery--analysis of 14 aneurysms in 13 cases. No Shinkei Geka 2001; 29: 121-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Haziran 2013 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 35 Sayı: 2 |