Table 1: Literature review of case reports and case series on posterior cerebral artery aneurysms.

N°

 

Title

 

Author

Aneurysm characteristics

Patient’s clinical state

Type of surgery

Intraoperative

Postoperative complications

Type

Size

Localization

Angiography

Endoscopy

1

Giant aneurysm of the posterior cerebral artery. Case report.

Obrador S (1966)

Sacular giant

50 mm

NR

Bilateral secondary optic atrophy, Severe blindness

Partial occipital lobectomy

No

No

Moderate left hemiparesis and Astereognosia in the left hand

2

Aneurysms of the posterior cerebral Artery.

Drake C [19]

Sacular: 5, Micotic: 1, Fusiform: 1, Multilocular: 1

NR

P1: 2, P2: 3, P3: 3

Subarachnoid hemorrhage

NR

No

No

Complete hemiplegia, Third cranial nerve palsy, Death, Incomplete hemisensory defect

3

Unusual MR features in a case of completely thrombosed giant aneurysm of the posterior cerebral Artery.

Rastogi H (1995)

Thrombosed giant

29 mm

P1/P2

Hemicranial headache, Diplopia, Motor weakness of left IV and V cranial nerves with right hemiparesis

Left temporal craniotomy

No

No

NR

4

Transcortical transchoroidal fissure approach for ruptured distal posterior cerebral Artery.

Onoda K (2003)

Sacular

NR

P2/P3

Altered consciousness, Headache and Vomiting

Transcortical transchoroidal fissure

Yes

No

Altered consciousness gradually relieved, Mild transient disturbance of memory

5

 

(p2-p3 junction) aneurysm associated with packed intraventricular hemorrhage - Two case reports.

 

NR

P2/P3

Altered consciousness

Transcortical transchoroidal fissure

Yes

No

Altered consciousness slightly improved

6

Large fusiform posterior cerebral artery aneurysm (P2 segment): Successful trapping and Excision via subtemporal approach.

Ramzisham A (2004)

Fusiform

25 mm

P2

Right occipitoparietal headache, Progressive ipsilateral ptosis and Diplopia

Subtemporal

Yes

No

Ptosis resolved eight weeks after surgery without new neurological deficits

7

Subtemporal approach for a P2-P3 junction aneurysm of the posterior cerebral artery.

Uygur E [23]

Sacular

20 mm

P2/P3

Left occipitoparietal headache

Subtemporal microsurgery

Yes

No

None

8

Complete loop of the posterior cerebral artery with ruptured aneurysm at the origin of the medial posterior choroidal artery. A case report.

Muzii V (2009)

Sacular

NR

P1/P2

Severe headache with sudden onset, Vomiting, Slurred speech and Loss of consciousness

Right subtemporal

Yes

No

None

9

Subarachnoid hemorrhage due to ruptured posterior cerebral artery aneurysm simultaneously associated with multiple remote intracerebral hemorrhages.

Sonobe S [22]

Sacular

NR

P1

Semicomatous with tetraparesis and bilateral oculomotor nerve palsy

Left subtemporal

Yes

No

Progressive improvement of altered consciousness, Tetraparesis and Bilateral oculomotor nerve palsy

10

Superficial temporal artery: Distal posterior cerebral artery bypass through the subtemporal approach: Technical note and pilot surgical cases

Kawashima A [26]

Thrombosed fusiform

20 mm

P2

Asymptomatic

Right subtemporal

Yes

No

None

11

Dissecting

18 mm

P1/P2

Hunt-Hess grade 3 subarachnoid hemorrhage

Left subtemporal

Yes

No

None

12

Fusiform with atherosclerosis

12 mm

P1/P2

Transient ischemic attacks and Cognitive dysfunction

Subtemporal

Yes

No

Transitional aphasia up to 1 week

13

Microsurgical clipping of giant P3 Segment. Posterior cerebral artery aneurysm: 2-dimensional operative video.

Eser P [25]

Thrombosed

NR

P3

Acute hydrocephalus

Parieto-occipital craniotomy

Yes

No

None

14

Endoport-assisted microsurgical treatment for a ruptured posterior cerebral artery aneurysm: A technical note.

Gomez J (2022)

Sacular

21 mm

P4

Severe headache, Drowsiness, Disorientation and Sudden generalized seizures

Transnuchal

Yes

Yes

Right hemianopia

*NR: Not reported