Microsurgical clipping of giant P3 segment posterior cerebral artery aneurysm: 2-dimensional operative video

dc.contributor.buuauthorOcak, Pınar
dc.contributor.buuauthorKocaeli, Hasan
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-0132-9927tr_TR
dc.contributor.researcheridAAI-2073-2021tr_TR
dc.contributor.scopusid57200969645tr_TR
dc.contributor.scopusid6603500567tr_TR
dc.date.accessioned2022-12-22T07:09:18Z
dc.date.available2022-12-22T07:09:18Z
dc.date.issued2020-04-18
dc.description.abstractPosterior cerebral artery (PCA) aneurysms comprise <2% of all intracranial aneurysms and are usually located on the P1 and P2 segments. Aneurysms of the P3 segment of the PCA are even rarer, and despite their proximity to the cerebral aqueduct, presentation with hydrocephalus is exceptional. This video demonstrates the case of a 28-year-old female patient who presented acute hydrocephalus due to a partially thrombosed, giant P3 segment PCA aneurysm. The patient was operated on in the semisitting position, and a right frontal ventricular drain was placed for brain relaxation. A U-shaped skin incision was made, and a left-sided, 6 cm × 6 cm parietooccipital craniotomy crossing the midline was performed. An interhemispheric approach was used to reach the aneurysm. The aneurysm was trapped via temporary clipping of the inflow and outflow arteries, thrombectomized, and then clipped using a right-angled fenestrated aneurysm clip. Postoperative computed tomography and magnetic resonance imaging revealed resolution of the hydrocephalus, and cerebral angiography confirmed total exclusion of the aneurysm from the circulation and occlusion of the P4 segment of the PCA, which was considered embolic. The patient made an excellent recovery, and she was discharged on postoperative day 3 (Video 1). This case demonstrates the efficacy of microsurgical clipping for a giant thrombotic P3 segment PCA aneurysm that caused a mass effect. Surgery excluded the aneurysm from the circulation and decompressed the cerebral aqueduct, obviating the need for a permanent ventriculoperitoneal shunt.en_US
dc.identifier.citationOcak, P. ve Kocaeli, H. (2020). "Microsurgical clipping of giant P3 segment posterior cerebral artery aneurysm: 2-dimensional operative video". World Neurosurgery, 139, 148.en_US
dc.identifier.endpage148tr_TR
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pubmed32311557tr_TR
dc.identifier.scopus2-s2.0-85084368258tr_TR
dc.identifier.startpage148tr_TR
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2020.04.035
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1878875020307427
dc.identifier.urihttp://hdl.handle.net/11452/30035
dc.identifier.volume139tr_TR
dc.identifier.wos000548916800025tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherElsevier Scienceen_US
dc.relation.journalWorld Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGiant aneurysmen_US
dc.subjectHydrocephalusen_US
dc.subjectPosterior cerebral arteryen_US
dc.subjectSurgical clippingen_US
dc.subjectThrombotic aneurysmen_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectSurgeryen_US
dc.subject.emtreeAcute diseaseen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAneurysm clippingen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBrain angiographyen_US
dc.subject.emtreeBrain artery aneurysmen_US
dc.subject.emtreeCase reporten_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeComputer assisted tomographyen_US
dc.subject.emtreeCraniotomyen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeHydrocephalusen_US
dc.subject.emtreeMicrosurgeryen_US
dc.subject.emtreeNuclear magnetic resonance imagingen_US
dc.subject.emtreePosterior cerebral arteryen_US
dc.subject.emtreeSkin incisionen_US
dc.subject.emtreeThrombectomyen_US
dc.subject.emtreeComplicationen_US
dc.subject.emtreeHydrocephalusen_US
dc.subject.emtreeIntracranial aneurysmen_US
dc.subject.emtreeMicrosurgeryen_US
dc.subject.emtreeNeurosurgeryen_US
dc.subject.emtreeOcclusive cerebrovascular diseaseen_US
dc.subject.emtreePosterior cerebral arteryen_US
dc.subject.emtreeProceduresen_US
dc.subject.emtreeX-ray computed tomographyen_US
dc.subject.meshAdulten_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHydrocephalusen_US
dc.subject.meshIntracranial aneurysmen_US
dc.subject.meshIntracranial thrombosisen_US
dc.subject.meshMagnetic resonance imagingen_US
dc.subject.meshMicrosurgeryen_US
dc.subject.meshNeurosurgical proceduresen_US
dc.subject.meshPosterior cerebral arteryen_US
dc.subject.meshTomography, x-Ray computeden_US
dc.subject.scopusIntracranial Aneurysm; Bypass; Cerebral Revascularizationen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosSurgeryen_US
dc.titleMicrosurgical clipping of giant P3 segment posterior cerebral artery aneurysm: 2-dimensional operative videoen_US
dc.typeArticle
dc.wos.quartileQ3 (Surgery)en_US
dc.wos.quartileQ4 (Clinical neurology)en_US

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