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Giant posterior communicating artery aneurysm presenting as third ventricle mass with obstructive hydrocephalus

1994; American Association of Neurological Surgeons; Volume: 81; Issue: 2 Linguagem: Inglês

10.3171/jns.1994.81.2.0299

1933-0693

Kris A. Smith, Gary E. Kraus, Blake A. Johnson, Robert F. Spetzler,

Vascular Malformations Diagnosis and Treatment

✓ The case of a giant posterior communicating artery (PCoA) aneurysm is reported in which the initial presentation was coma secondary to obstructive hydrocephalus. The primary radiological diagnosis was a probable craniopharyngioma. A cerebral angiogram revealed a partially thrombosed giant PCoA aneurysm on the right side. The patient underwent pterional craniotomy with aneurysm clipping and thrombectomy to relieve mass effect, and has made a good recovery. Review of the literature documents that giant PCoA aneurysms are rare. This is believed to be the first reported case of a PCoA aneurysm presenting as a third ventricle mass with obstructive hydrocephalus. The magnetic resonance imaging characteristics of those third ventricle masses that mandate vascular workup are discussed.