Ruptured distal anterior choroidal artery aneurysm presenting with right intracerebral haematoma: clipping aided by subpial uncal resection.
This report describes a rare case of a distal right anterior choroidal artery aneurysm which developed a right intracerebral haematoma and intraventricular haemorrhage and was treated by surgical exploration and clipping with the aid of a limited subpial resection of the uncus and ambient gyrus. The technique of limited subpial uncal resection allows the surgeon to follow the anterior choroidal artery without much difficulty, achieves proximal control early and aids in the eventual clipping procedure.
Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.
George Kwok-chu
GK
Wong
Ronald
R
Boet
Wai-sang
WS
Poon
D000203:Activities of Daily Living; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003221:Confusion / Q000209:etiology; D003399:Craniotomy / Q000379:methods; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D020534:Parahippocampal Gyrus / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D010291:Paresis / Q000209:etiology; D020127:Recovery of Function / Q000502:physiology; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017585:Ultrasonography, Doppler, Transcranial; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D020246:Venous Thrombosis / Q000150:complications