Posterior cerebral artery giant aneurysm associated with bilateral internal carotid artery occlusion in a Klippel-Trenaunay syndrome patient: a case report

Br J Neurosurg. 2019 Oct;33(5):591-593. doi: 10.1080/02688697.2017.1394446. Epub 2017 Oct 26.

Abstract

We experienced an extremely rare case of a giant P1-P2 partially thrombosed aneurysm associated with bilateral ICA occlusion in a Klippel-Trenaunay syndrome patient. In our experience, direct surgical clipping via a pterional approach is generally favored for aneurysms located in the junction of the P1-P2 segments, even if they are giant.

Keywords: Giant intracranial aneurysm; Klippel-Trenaunay syndrome; bilateral internal carotid artery occlusion; direct clipping; posterior cerebral artery.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Carotid Artery Diseases / surgery
  • Carotid Artery Thrombosis / complications
  • Carotid Artery Thrombosis / surgery
  • Carotid Artery, Internal / surgery
  • Carotid Stenosis / complications
  • Carotid Stenosis / surgery
  • Cerebral Angiography / methods
  • Computed Tomography Angiography / methods
  • Humans
  • Intracranial Aneurysm / etiology
  • Intracranial Aneurysm / surgery*
  • Klippel-Trenaunay-Weber Syndrome / complications*
  • Magnetic Resonance Imaging / methods
  • Male
  • Posterior Cerebral Artery / surgery