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KMID : 1001920160590040414
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Journal of Korean Neurosurgical Society
2016 Volume.59 No. 4 p.414 ~ p.419
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Usefulness of Motor-Evoked Potentials Monitoring for Neurosurgical Treatment of an Unusual Distal Anterior Choroidal Artery Aneurysm
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Champeaux Charles
Jecko Vincent
Eimer Sandrine
Penchet Guillaume
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Abstract
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A 35 years old woman presented with an acute meningeal syndrome following an intra ventricular haemorrhage without subarachnoid haemorrhage. The angiography demonstrated a 6 mm partially thrombosed saccular aneurysm at the plexal point of the right anterior choroidal artery (AChoA). It was surgically approached inside the ventricle through a trans-temporal corticotomy. The aneurysm was excised after distal exclusion of the feeding artery under motor-evoked potentials monitoring. Of the 19 cases of distal AChoA aneurysm neurosurgical treatment, this is the only one performed under electrophysiology monitoring, a simple and safe method to detect and prevent motor tract ischemia. We discuss this rare case, along with a comprehensible review of the literature of the previous surgical cases of distal AChoA aneurysms.
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KEYWORD
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Anterior choroidal artery , Cerebral aneurysm , Motor evoked potentials , Neurosurgical treatment , Intra ventricular haemorrhage
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