Table 1: Literature review of case reports and case series on posterior cerebral artery aneurysms.

 

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