Table 1: Literature review of case reports and case series on posterior cerebral artery aneurysms.
N° |
Title |
Author |
Aneurysm characteristics |
Patient’s clinical state |
Type of surgery |
Intraoperative |
Postoperative complications |
|||
Type |
Size |
Localization |
Angiography |
Endoscopy |
||||||
1 |
Giant aneurysm of the posterior cerebral artery. Case report. |
Obrador S (1966) |
Sacular giant |
50 mm |
NR |
Bilateral secondary optic atrophy, Severe blindness |
Partial occipital lobectomy |
No |
No |
Moderate left hemiparesis and Astereognosia in the left hand |
2 |
Aneurysms of the posterior cerebral Artery. |
Drake C [19] |
Sacular: 5, Micotic: 1, Fusiform: 1, Multilocular: 1 |
NR |
P1: 2, P2: 3, P3: 3 |
Subarachnoid hemorrhage |
NR |
No |
No |
Complete hemiplegia, Third cranial nerve palsy, Death, Incomplete hemisensory defect |
3 |
Unusual MR features in a case of completely thrombosed giant aneurysm of the posterior cerebral Artery. |
Rastogi H (1995) |
Thrombosed giant |
29 mm |
P1/P2 |
Hemicranial headache, Diplopia, Motor weakness of left IV and V cranial nerves with right hemiparesis |
Left temporal craniotomy |
No |
No |
NR |
4 |
Transcortical transchoroidal fissure approach for ruptured distal posterior cerebral Artery. |
Onoda K (2003) |
Sacular |
NR |
P2/P3 |
Altered consciousness, Headache and Vomiting |
Transcortical transchoroidal fissure |
Yes |
No |
Altered consciousness gradually relieved, Mild transient disturbance of memory |
5 |
(p2-p3 junction) aneurysm associated with packed intraventricular hemorrhage - Two case reports. |
|
NR |
P2/P3 |
Altered consciousness |
Transcortical transchoroidal fissure |
Yes |
No |
Altered consciousness slightly improved |
|
6 |
Large fusiform posterior cerebral artery aneurysm (P2 segment): Successful trapping and Excision via subtemporal approach. |
Ramzisham A (2004) |
Fusiform |
25 mm |
P2 |
Right occipitoparietal headache, Progressive ipsilateral ptosis and Diplopia |
Subtemporal |
Yes |
No |
Ptosis resolved eight weeks after surgery without new neurological deficits |
7 |
Subtemporal approach for a P2-P3 junction aneurysm of the posterior cerebral artery. |
Uygur E [23] |
Sacular |
20 mm |
P2/P3 |
Left occipitoparietal headache |
Subtemporal microsurgery |
Yes |
No |
None |
8 |
Complete loop of the posterior cerebral artery with ruptured aneurysm at the origin of the medial posterior choroidal artery. A case report. |
Muzii V (2009) |
Sacular |
NR |
P1/P2 |
Severe headache with sudden onset, Vomiting, Slurred speech and Loss of consciousness |
Right subtemporal |
Yes |
No |
None |
9 |
Subarachnoid hemorrhage due to ruptured posterior cerebral artery aneurysm simultaneously associated with multiple remote intracerebral hemorrhages. |
Sonobe S [22] |
Sacular |
NR |
P1 |
Semicomatous with tetraparesis and bilateral oculomotor nerve palsy |
Left subtemporal |
Yes |
No |
Progressive improvement of altered consciousness, Tetraparesis and Bilateral oculomotor nerve palsy |
10 |
Superficial temporal artery: Distal posterior cerebral artery bypass through the subtemporal approach: Technical note and pilot surgical cases |
Kawashima A [26] |
Thrombosed fusiform |
20 mm |
P2 |
Asymptomatic |
Right subtemporal |
Yes |
No |
None |
11 |
Dissecting |
18 mm |
P1/P2 |
Hunt-Hess grade 3 subarachnoid hemorrhage |
Left subtemporal |
Yes |
No |
None |
||
12 |
Fusiform with atherosclerosis |
12 mm |
P1/P2 |
Transient ischemic attacks and Cognitive dysfunction |
Subtemporal |
Yes |
No |
Transitional aphasia up to 1 week |
||
13 |
Microsurgical clipping of giant P3 Segment. Posterior cerebral artery aneurysm: 2-dimensional operative video. |
Eser P [25] |
Thrombosed |
NR |
P3 |
Acute hydrocephalus |
Parieto-occipital craniotomy |
Yes |
No |
None |
14 |
Endoport-assisted microsurgical treatment for a ruptured posterior cerebral artery aneurysm: A technical note. |
Gomez J (2022) |
Sacular |
21 mm |
P4 |
Severe headache, Drowsiness, Disorientation and Sudden generalized seizures |
Transnuchal |
Yes |
Yes |
Right hemianopia |
*NR: Not reported