Fenestration of the oculomotor nerve by a duplicated posterior cerebral artery and aneurysm Case report

Fenestration of the oculomotor nerve by a duplicated posterior cerebral artery and aneurysm Case report
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DOI:
10.3171/2009.2.jns081688
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发表时间:
2009-07-01
影响因子:
4.1
通讯作者:
Couldwell, William T.
Couldwell, William T.
中科院分区:
医学1区
文献类型:
--
作者:
Binning, Mandy J.;Couldwell, William T.

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作者报告了一例由迷走动脉分支引起的大脑后动脉动脉瘤,该分支被发现分裂了动眼神经。这位63岁的男性以头痛就诊,CT成像显示蛛网膜下腔出血主要发生在基底脑池内。正式的血管造影和CT血管造影显示一个囊状动脉瘤起源于大脑后动脉。术中发现第三脑神经与动脉和动脉瘤一起穿孔。(DOI:10.3171/2009.2.JNS081688)
The authors report a case of a posterior cerebral artery aneurysm arising from an aberrant arterial branch that was found to be splitting the oculomotor nerve. This 63-year-old man presented with headaches, and CT imaging revealed subarachnoid hemorrhage primarily within the basilar cisterns. Formal angiography and CT angiography revealed a saccular aneurysm arising from the posterior cerebral artery. Intraoperatively, the third cranial nerve was found to be fenestrated with the artery and aneurysm. (DOI: 10.3171/2009.2.JNS081688)