Giant posterior communicating artery aneurysm presenting as third ventricle mass with obstructive hydrocephalus
- 1 August 1994
- journal article
- case report
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 81 (2) , 299-303
- https://doi.org/10.3171/jns.1994.81.2.0299
Abstract
The case of a giant posterior communicating artery (PCoA) aneurysm is reported in which the initial presentation was coma secondary to obstructive hydrocephalus. The primary radiological diagnosis was a probable craniopharyngioma. A cerebral angiogram revealed a partially thrombosed giant PCoA aneurysm on the right side. The patient underwent pterional craniotomy with aneurysm clipping and thrombectomy to relieve mass effect, and has made a good recovery. Review of the literature documents that giant PCoA aneurysms are rare. This is believed to be the first reported case of a PCoA aneurysm presenting as a third ventricle mass with obstructive hydrocephalus. The magnetic resonance imaging characteristics of those third ventricle masses that mandate vascular workup are discussed.Keywords
This publication has 34 references indexed in Scilit:
- Intracavernous carotid aneurysm — An unusual cause of isolated abducens nerve palsyAnnals of Emergency Medicine, 1990
- Tumor-simulating giant serpentine aneurysm of the posterior cerebral arterySurgical Neurology, 1988
- Focal seizures: An unusual presentation of giant intracranial aneurysms. A report of four cases with comments on the natural history and treatmentSurgical Neurology, 1985
- Giant posterior inferior cerebellar artery aneurysm with dysphagiaSurgical Neurology, 1984
- Neuroradiologic and neuropathologic findings with growing giant intracranial aneurysm. Review of the literatureSurgical Neurology, 1984
- Giant intracranial aneurysms: diagnosis, management, and outcomeSurgical Neurology, 1984
- Obstructive hydrocephalus caused by a growing, giant aneurysm on the upper basilar arterySurgical Neurology, 1983
- Giant aneurysm of the anterior inferior cerebellar artery simulating a cerebellopontine angle tumorSurgical Neurology, 1982
- Giant aneurysm of anterior communicating artery simulating 3rd ventricular tumorComputerized Tomography, 1979
- Pseudo-tumoural aneurysm in the third ventricle: Report of three casesActa Neurochirurgica, 1979