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DOI: 10.1055/s-0029-1225327
© 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
Publication History
Publication Date:
15 April 2010 (online)
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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