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Journal of Korean Neurosurgical Society 1999;28(12): 1789-1794.
A Giant Fusiform Aneurysm of Posterior Cerebral Artery Treated with Trapping after Temporal Lobectomy.
Myoung Soo Kim, Dae Hee Han, Chang Wan Oh, O Ki Kwon
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
The authors report a case of giant fusiform aneurysm in posterior cerebral artery treated with trapping after temporal lobectomy. A 44-year-old woman presented with blurred vision and oculomotor nerve palsy of right eye. Cerebral angiography showed a giant fusiform aneurysm in posterior cerebral artery. A zygomatic-temporal approach and temporal lobectomy was performed for sufficient exposure of surgical field and the aneurysm was trapped. Postoperatively oculomotor nerve palsy was improved. We report a case of a giant fusiform aneurysm of posterior cerebral artery treated with trapping after temporal lobectomy and reviewed pertinent literatures regarding the treatment of giant fusiform aneurysms in posterior cerebral artery.
Key Words: Posterior cerebral artery; Fusiform aneurysm; Temporal lobectomy
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