Resumos
Apresentamos caso de aneurisma gigante do segmento distal (P3) da artéria cerebral posterior. O aneurisma foi tratado microcirurgicamente pela via combinada proposta por Sano com clipagem do ramo terminal da artéria cerebral posterior próximo ao aneurisma. A paciente teve evolução pós operatória favorável, com lesão parcial e transitória do III nervo craniano. Revisão da literatura e discussão a respeito da anatomia e da abordagem cirúrgica são feitas. A raridade desta patologia justifica o relato deste caso.
aneurisma cerebral gigante; artéria cerebral posterior; abordagem microcirúrgica
A rare case of giant aneurysm of the P3 segment of the posterior cerebral artery is presented. The aneurysm was acessed through a combined approach proposed by Sano and the aneurysm was treated by proximal clipping. The patient had a good postoperative recovery without any neurological deficit. The anatomy and the operative approaches are discussed and the neurosurgical literature reviewed.
giant aneurysm; posterior cerebral artery; microsurgical approach
Aneurisma gigante da artéria cerebral posterior. (segmento P3) Relato de caso
Giant aneurysm of the posterior cerebral artery (P3 segment): case report
Ronaldo PereiraI; Márcio RamalhoII; Aldo PereiraII; Paulo MeloI
INeurocirurgião. Unidade de Neurocirurgia (UNC) do Hospital de Base do Distrito Federal (HBDF)
IIResidente de Neurocirurgia. Unidade de Neurocirurgia (UNC) do Hospital de Base do Distrito Federal (HBDF)
RESUMO
Apresentamos caso de aneurisma gigante do segmento distal (P3) da artéria cerebral posterior. O aneurisma foi tratado microcirurgicamente pela via combinada proposta por Sano com clipagem do ramo terminal da artéria cerebral posterior próximo ao aneurisma. A paciente teve evolução pós operatória favorável, com lesão parcial e transitória do III nervo craniano. Revisão da literatura e discussão a respeito da anatomia e da abordagem cirúrgica são feitas. A raridade desta patologia justifica o relato deste caso.
Palavras-chave:aneurisma cerebral gigante, artéria cerebral posterior, abordagem microcirúrgica.
SUMMARY
A rare case of giant aneurysm of the P3 segment of the posterior cerebral artery is presented. The aneurysm was acessed through a combined approach proposed by Sano and the aneurysm was treated by proximal clipping. The patient had a good postoperative recovery without any neurological deficit. The anatomy and the operative approaches are discussed and the neurosurgical literature reviewed.
Key words:giant aneurysm, posterior cerebral artery, microsurgical approach.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Aceite: 5-janeiro-1995.
Dr. Ronaldo Pereira - Unidade de Neurocirurgia, Hospital de Base do Distrito Federal - SMHS Q101-70335-000 Brasília DF - Brasil.
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Datas de Publicação
-
Publicação nesta coleção
09 Dez 2010 -
Data do Fascículo
Set 1995
