Serpentine aneurysm of the posterior cerebral artery treated by internal maxillary artery bypass followed by parent artery occlusion: a case report and literature review.


:Serpentine aneurysms of the posterior cerebral artery (PCA) treated by the internal maxillary artery (IMA) bypass are rare. Here, the authors report the case of a 34-year-old male patient who presented with a half-year history of gradual severe headache and right-sided limb monoparesis and paresthesia lasting for 1 week. Preoperative angiograms showed a serpentine aneurysm in the left distal PCA, which was treated with internal maxillary artery-radial artery-posterior cerebral artery (IMA-RA-PCA) bypass followed by parent artery occlusion (PAO). The postoperative course was uneventful; radiological images revealed that the aneurysm disappeared, and there was good graft patency and excellent perfusion of the distal PCA territories. To the authors' knowledge, this is the first and only case of distal PCA serpentine aneurysm to be treated by IMA-RA-PCA bypass followed by proximal PAO. These findings suggest that IMA bypass surgery is a good and feasible treatment option for serpentine aneurysms of the PCA that can preserve the parent artery. Moreover, the anatomic segments of the PCA and different treatment options available for PCA serpentine aneurysms are also discussed in this study.


Acta Neurochir (Wien)


Acta neurochirurgica


Zhang J,Shi X,Liu F,Sun Y,Qian H,Zhou Z




Has Abstract


2019-06-01 00:00:00














  • The new WHO 2016 classification of brain tumors-what neurosurgeons need to know.

    abstract:BACKGROUND:The understanding of molecular alterations of tumors has severely changed the concept of classification in all fields of pathology. The availability of high-throughput technologies such as next-generation sequencing allows for a much more precise definition of tumor entities. Also in the field of brain tumor...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Banan R,Hartmann C

    更新日期:2017-03-01 00:00:00

  • Universal fluorescence module for intraoperative fluorescein angiography-a technical report.

    abstract:BACKGROUND:Even in specialized centers, suboptimal aneurysm clipping can be as high as 12%. Intraoperative fluorescence angiography with indocyanine green and, more recently, fluorescein sodium have been shown to be a good method for intraoperative flow assessment. However, the cost with the apparatus it entails limits...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Leal RTM,Fernandes RA,Escudeiro GP,Rodrigues RMC,Monteiro R,Landeiro JA

    更新日期:2019-07-01 00:00:00

  • LINAC radiosurgery for glomus jugulare tumors: retrospective - cohort study of 23 patients.

    abstract:BACKGROUND:Glomus jugulare tumors (GJTs) are uncommon and locally disruptive tumors that usually arise within the jugular foramen of the temporal bone. Surgery was the treatment of choice up until recently. In the last decades, however, radiosurgery has surfaced as a promising alternative treatment by providing excelle...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lior U,Rotem H,Uzi N,Roberto S

    更新日期:2020-04-01 00:00:00

  • Intratumoural cyst formation in pituitary macroadenomas.

    abstract::Twenty-one patients with various types of pituitary macroadenomas underwent hypophysectomy at the Chaim Sheba Medical Centre between 1985 to 1987. Intraoperative fine needle aspiration of the tumoural content was attempted prior to tumour excision. Although none of the patients had a history compatible with pituitary ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ram Z,Hadani M,Berezin M,Findler G,Sahar A,Shacked I

    更新日期:1989-01-01 00:00:00

  • Capsule plication as a protective measure against post-operative intracapsular haematoma formation following trans-sphenoidal removal of pituitary macroadenoma.

    abstract:BACKGROUND:Post-operative haematoma and visual deterioration are rare but serious complications after trans-sphenoidal surgery. For more reliable decompression of the optic nerve, we introduce a new technique for volume reduction of the cavity remaining after trans-sphenoidal resection of macroadenomas. TECHNIQUE:Afte...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kitano M,Taneda M

    更新日期:2008-08-01 00:00:00

  • Cerebral mixed tumour: osteo-condrosarcoma--glioblastoma multiforme.

    abstract::A 49-year-old woman had a left frontal expanding mass with calcified areas. A craniotomy and resection of the mass were performed. Histological sections showed a mixed tumour: osteochondrosarcoma-glioblastoma multiforme. The absence of previous irradiation and its location, deep in the frontal lobe and apparently unat...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sarmiento J,Ferrer I,Pons L,Ferrer E

    更新日期:1979-01-01 00:00:00

  • Systemic and cerebral haemodynamics during craniotomy under mild hypothermia in patients with acute subarachnoid haemorrhage.

    abstract:BACKGROUND:Mild hypothermia provides cerebral protection against ischaemic insults in various animal models. We compared systemic and cerebral oxygenation between mild hypothermic and normothermic management in 60 patients with acute subarachnoid haemorrhage who underwent clipping of cerebral aneurysms. METHOD:The tem...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sato K,Sato K,Yoshimoto T

    更新日期:2000-01-01 00:00:00

  • Treatment of cavernous malformations in supratentorial eloquent areas: experience after 10 years of patient-tailored surgical protocol.

    abstract:BACKGROUND:Eloquent area surgery has become safer with the development of intraoperative neurophysiological monitoring and brain mapping techniques. However, the usefulness of intraoperative electric brain stimulation techniques applied to the management and surgical treatment of cavernous malformations in supratentori...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sanmillan JL,Lopez-Ojeda P,Fernández-Conejero I,Fernández-Coello A,Plans G,Ali-Ciurana Y,Gabarrós A

    更新日期:2018-10-01 00:00:00

  • Microvascular auscultation. A new technique, using a diplo-microphone, for analysis of blood flow at suture lines in small arteries.

    abstract::A new atraumatic method for patency and blood flow control of microvascular anastomoses has been developed. Sounds proximal and distal to a suture line are separately detected by means of two specially modified miniature microphones built together as an auscultation unit and named a diplo-microphone. Transmission of t...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Wintermantel E

    更新日期:1980-01-01 00:00:00

  • Tabetic lumbar osteoarthropathy with cauda equina syndrome. Case report.

    abstract::The case is described of a 52 year old patient admitted for acauda equina compression syndrome (flaccid paraplegia of the lower limbs, bilateral lumbar and sciatic pains, urinary incontinence) of rapid onset and due to narrowing of the lumbar canal from tabetic arthropathy. These vertebral manifestations occur in a lo...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Cantore GP,Gambacorta D

    更新日期:1976-01-01 00:00:00

  • The in-vivo-nerve response to direct low-energy-laser irradiation.

    abstract::To study the in-vivo effects of direct Low-Energy Laser Irradiation (LELI) on the Peripheral Nervous System, the sciatic nerve in rats was surgically exposed, crushed and then subjected to the direct irradiation of either of two continuous-wave HeNe lasers--0.3 mW or 17 mW. We found that the 0.3 mW laser significantly...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rochkind S,Nissan M,Lubart R,Avram J,Bartal A

    更新日期:1988-01-01 00:00:00

  • Carpal tunnel syndrome and acromegaly.

    abstract::50 patients with acromegaly and carpal tunnel syndrome have been examined electrophysiologically before and after transnasal operation of the pituitary adenoma. 32 of the 50 patients (64%) had symptoms of carpal tunnel syndrome. 13 of them had neurological deficits. 28 of the examined patients had pathological neurogr...

    journal_title:Acta neurochirurgica

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Baum H,Lüdecke DK,Herrmann HD

    更新日期:1986-01-01 00:00:00

  • Superficial siderosis of the central nervous system following cervical nerve root avulsion: the importance of early diagnosis and surgery.

    abstract::Superficial siderosis (SS) of the central nervous system is an insidious, progressive, irreversible and debilitating neurological disorder caused by recurrent haemorrhage within the subarachnoid space. The subsequent deposition of haemorrhagic breakdown products in the spinal cord and nervous tissues leads to the loss...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Aquilina K,Kumar R,Lu J,Rawluk D

    更新日期:2005-03-01 00:00:00

  • Tumour ploidy in DNA histograms of pituitary adenomas.

    abstract::DNA analysis was performed by flow cytometry (FCM) in 59 cases of different types of pituitary adenomas who underwent microsurgery and were actively followed over a period of 3-6 years. Aneuploid DNA patterns were detected in 12 (20%) cases. Frequency of aneuploidy was highest in prolactin-secreting (36%) as compared ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lüdecke DK,Beck-Bornholdt HP,Saeger W,Schmidt W

    更新日期:1985-01-01 00:00:00

  • Venous malformation in the posterior fossa: guidelines for treatment.

    abstract::Venous malformations in the posterior fossa are relatively rare. Although the introduction of CT and MRI has made them easier to detect, their treatment is still controversial. Based on our experience with six patients and a review of the literature, we have tried to establish guidelines for their treatment. Since the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Mori K,Seike M,Kurisaka M,Kamimura Y,Morimoto M

    更新日期:1994-01-01 00:00:00

  • Management of intramedullary tumours in children.

    abstract::Clinical presentation, diagnosis, surgical technique and results of 25 cases of intramedullary tumours in patients under 16 years of age are analyzed. Pre-operative spinal deformity was present in 9 patients. Surgery was performed in all. After multilaminectomy with preservation of the intervertebral joints, total rem...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lunardi P,Licastro G,Missori P,Ferrante L,Fortuna A

    更新日期:1993-01-01 00:00:00

  • Trauma- and distress-associated mental illness symptoms in close relatives of patients with severe traumatic brain injury and high-grade subarachnoid hemorrhage.

    abstract:BACKGROUND:Close relatives (CR) of patients with severe traumatic brain injury (TBI) and high-grade subarachnoid hemorrhage (SAH) suffer extraordinary distress during the treatment: Distress may lead to persisting mental illness symptoms within the spectrum of post-traumatic stress disorder (PTSD), anxiety disorders, a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rueckriegel SM,Baron M,Domschke K,Neuderth S,Kunze E,Kessler AF,Nickl R,Westermaier T,Ernestus RI

    更新日期:2015-09-01 00:00:00

  • Cerebral protection during carotid endarterectomy--EEG monitoring as a guide to the use of intraluminal shunts.

    abstract::The authors have reviewed the literature concerning measures for cerebral protection during carotid endarterectomy, with particular reference to the controversy regarding the use of an intraluminar shunt. The authors use preoperative EEG analysis during the carotid compression test as well as intraoperative EEG monito...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Wassmann H,Fischdick G,Jain KK

    更新日期:1984-01-01 00:00:00

  • Characteristic findings of metrizamide CT cisternography in epidermoids.

    abstract::The characteristic findings of metrizamide CT cisternography in two cases of epidermoid are reported. The main finding was a "cauliflower-like" appearance and was thought to be caused by the irregular interstices of epidermoids. Metrizamide CT cisternography may be helpful in making a diagnosis of an epidermoid. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Inoue H,Toya S,Ohtani M,Kawase T,Takenaka N,Okui S,Miyahara Y,Shiga H

    更新日期:1984-01-01 00:00:00

  • Optimal treatment of leptomeningeal spread in glioblastoma: analysis of risk factors and outcome.

    abstract:BACKGROUND:Glioblastoma (GBM) is the most common and malignant brain tumor in adults. Despite therapeutic advances, almost all patients eventually experience tumor recurrence. Leptomeningeal spread (LMS) is not a rare condition of recurrence. However, the standard management protocol of LMS has not been established. Th...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Noh JH,Lee MH,Kim WS,Lim DH,Kim ST,Kong DS,Nam DH,Lee JI,Seol HJ

    更新日期:2015-04-01 00:00:00

  • Clinical features and management of brain arteriovenous malformations in elderly patients.

    abstract:BACKGROUND:Brain arteriovenous malformations (AVMs) of the elderly have not received sufficient attention, given the increase in age of individuals in recent years. We therefore designed a retrospective study to clarify features of brain AVMs in this age group in comparison with their counterparts in the general popula...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hashimoto H,Iida J,Kawaguchi S,Sakaki T

    更新日期:2004-10-01 00:00:00

  • A new table-fixed soft tissue retractor for the anterior cervical spinal surgery.

    abstract::Since surgeons sometimes encounter difficulty in keeping self- retaining soft tissue retractors in the proper position for anterior cervical spinal surgery, we have developed a new, simple soft tissue retractor system, which is fixed to the side rails of the operating table via retractor stands. All three joints of th...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Takayasu M,Shibuya M,Suzuki Y,Yoshida J

    更新日期:1997-01-01 00:00:00

  • Suboccipital endoscopic management of the entrapped fourth ventricle: technical note.

    abstract:BACKGROUND:Entrapped fourth ventricle is the result of both inlet aqueduct and outlet fourth ventricular midline and lateral foraminae obstruction. It occurs as a sequalae of intracranial hemorrhagic or inflammatory disease condition. Usually it presents after previous shunting for communicating hydrocephalus with a pe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Raouf A,Zidan I

    更新日期:2013-10-01 00:00:00

  • Behçet's disease, associated with subarachnoidal heamorrhage due to intracranial aneurysm.

    abstract::Behçet's disease is an unusual medical condition in central Europe and North America, however more common in Turkey and Japan. It was originally described in Turkey, characterized by recurrent oral ulcers, genital ulcers and also uveitis. A variety of vascular lesions such as venous occlusions, arterial aneurysms and ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Zsigmond P,Bobinski L,Boström S

    更新日期:2005-05-01 00:00:00

  • A long-term follow-up study of juvenile aneurysm patients.

    abstract::The long-term outcome in 26 patients following operation of intracranial saccular aneurysms before the age of twenty is presented. The duration of follow-up ranged from 4 to 33 years (mean 14 years). The oldest patient is now 51 years old. 19 patients (73%) made a complete or good recovery with resumption of normal li...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ostergaard JR

    更新日期:1985-01-01 00:00:00

  • Clinical features of postoperative cerebral venous infarction.

    abstract::There is a potential risk of sacrificing the cortical vein during neurosurgical operations, particularly in the interhemispheric or subtemporal approach. An impaired cortical vein might cause cerebral venous circulatory disturbances (CVCDs) resulting in venous infarction. In this article, we have reviewed the manageme...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Nakase H,Shin Y,Nakagawa I,Kimura R,Sakaki T

    更新日期:2005-06-01 00:00:00

  • Endoscopic transorbital surgery for spheno-orbital lesions: how I do it.

    abstract:BACKGROUND:The endoscopic transorbital approach has been recently proposed for the surgical management of spheno-orbital lesions as an alternative to craniotomy surgeries. METHOD:We analyze the technical nuances and what we have changed as our experience increased after the first operations performed for 12 different ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Zoia C,Bongetta D,Gaetani P

    更新日期:2018-06-01 00:00:00

  • Early and late re-operations after anterior cervical decompression and fusion during an 11-year follow-up.

    abstract:BACKGROUND:Anterior cervical decompression and fusion (ACDF) may necessitate acute and late re-operations. Published long-term follow studies after ACDF are scarce. OBJECTIVE:Our goal was to give a detailed description of early and late re-operations after ACDF in an 11-year follow-up. METHODS:We retrospectively anal...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Saarinen T,Niemelä M,Kivisaari R,Pitkäniemi J,Pohjola J,Hernesniemi J

    更新日期:2013-02-01 00:00:00

  • Decompressive surgery in a patient with hyperostosis corticalis generalisata for relief of cognitive disability and dysaesthesia.

    abstract::A 28-year-old man with genetically confirmed hyperostosis corticalis generalisata (Van Buchem disease) suffered from headache and progressive cognitive and sensibility disorders. Bone formation of the skull was ongoing, leading to narrowing of the intracranial space and foramen magnum. A large bilateral frontoparietal...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Datema M,Appelman-Dijkstra NM,Hoyng SA,Verstegen MJ,Koot RW

    更新日期:2015-07-01 00:00:00

  • Management strategies of intercavernous sinus bleeding during transsphenoidal surgery.

    abstract:BACKGROUND:Transsphenoidal surgery has been well established as an effective primary treatment for tumours of the sellar region. During the dural opening, the prominent intercavernous sinus poses limitations for this approach and may contribute to incomplete tumour resections. METHOD:Based on our experience from 940 c...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kim EH,Ahn JY,Chang JH,Kim SH

    更新日期:2009-07-01 00:00:00