Cent Eur Neurosurg 2010; 71(3): 152-155
DOI: 10.1055/s-0029-1225327
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

True Posterior Communicating Artery Aneurysm Associated with Arteriovenous Malformation: First Report and Literature Review with Special Focus on Flow Alterations

Ö. Çelik1 , R. Kivisaari1 , J. Kokuzawa1 , R. Dashti1 , O. Navratil1 , R. Romani1 , M. Niemela1 , J. Hernesniemi1
  • 1Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland
Further Information

Publication History

Publication Date:
15 April 2010 (online)

Introduction

True posterior communicating artery (PCoA) aneurysms represent extremely rare lesions, the precise frequency of which remains unknown. These aneurysms are located on the trunk of the PCoA and should be differentiated from common aneurysms, which involve the origin of the PCoA from the internal carotid artery (ICA). However, diagnosis of these aneurysms is difficult when they are located close to the ICA. In some of the previously reported cases, the correct diagnosis was only achieved during surgery [15] [17] [19] [38] [40]. Three dimensional (3D) reconstructions of digital substraction angiography (DSA) and/or computed tomography angiography (CTA) are needed for optimal preoperative evaluation and surgical treatment of these lesions.

Although true PCoA aneurysms associated with increased blood flow through the PCoA have been reported previously [4] [10] [25], we present here–to the best of our knowledge – the first report of such an aneurysm associated with a brain arteriovenous malformation (AVM).

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Correspondence

Dr. Ö. Çelik

Department of Neurosurgery

Helsinki University

Central Hospital

Topeliuksenkatu 5

00260 Helsinki

Finland

Phone: +358 50 427 0220

Fax: +358 9 471 87560

Email: ozgur.celik@ymail.com