Медицинская библиотека · World neurosurgery · 2011

Suboccipital approach for primitive trigeminal artery obliteration associated with cavernous aneurysm.

Horiuchi Tetsuyoshi, Hara Yosuke, Sasaki Tetsuo, Nagashima Hisashi, Hongo Kazuhiro

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Аннотация

OBJECTIVE

A 63-year-old woman presented with diplopia resulting from abducens paralysis. Examination revealed a giant cavernous aneurysm supplied by the internal carotid artery (ICA) and primitive trigeminal artery (PTA) via the vertebrobasilar system.

METHODS

After evaluation of balloon test occlusion (BTO) at the distal side of the PTA origin, the aneurysm was treated with PTA obliteration through the suboccipital route in the lateral position followed by cervical carotid ligation with superficial temporal artery-to-middle cerebral artery anastomosis in the supine position.

RESULTS

The aneurysm showed marked shrinkage after the surgery.

CONCLUSION

PTA obliteration through the retrosigmoid opening is a therapeutic surgical option in a patient with a cavernous aneurysm supplied by the PTA.

Для цитирования: Horiuchi Tetsuyoshi, Hara Yosuke, Sasaki Tetsuo, Nagashima Hisashi, Hongo Kazuhiro. Suboccipital approach for primitive trigeminal artery obliteration associated with cavernous aneurysm.. World neurosurgery. 2011. DOI: 10.1016/j.wneu.2010.06.029.

Предметные рубрики MeSH

Basilar Artery Carotid Artery, Internal, Dissection Cavernous Sinus Thrombosis Cerebral Revascularization Female Humans Intracranial Aneurysm Middle Aged Patient Positioning Treatment Outcome Vascular Surgical Procedures

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