Aneurismas da artéria coroidéia anterior: aspectos clínicos, anatômicos e cirúrgicos

 

Choroidal artery aneurysms: clinical, anatomical and surgical aspects

 

 

Marcos Augusto Stávale Joaquim^I; Paulo Manabu Honda^II; Sérgio Domingos Pitelli^III; Gilberto Machado de Almeida^IV

^IMédico Residente - Trabalho realizado na Clínica Neurológica da Faculdade de Medicina da Universidade de São Paulo
^IIMédico Colaborador - Trabalho realizado na Clínica Neurológica da Faculdade de Medicina da Universidade de São Paulo
^IIIMédico Assistente - Trabalho realizado na Clínica Neurológica da Faculdade de Medicina da Universidade de São Paulo
^IVProfessor Adjunto - Trabalho realizado na Clínica Neurológica da Faculdade de Medicina da Universidade de São Paulo

 

 

---

RESUMO

Relatamos 5 casos de doentes portadores de aneurismas da região da artéria coroidéia anterior. Aspectos clínicos, anatômicos e cirúrgicos são discutidos.

---

SUMMARY

Five cases of anterior choroidal artery aneurysms are reported. Clinical, anatomical and surgical aspects are discussed.

---

 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. ALMEIDA, G.M.A. - Aneurismas da circulação anterior. Arq. bras. Neurocirurg. 3:181, 1984.         [ Links ]

2. BISARA, K.K. - Anomalies of the posterior communicating artery and their potential clinical significance. J. Neurosurg. 60:572, 1984.         [ Links ]

3. BOTTEREL, E.H.; LOUGHEED, W.M.; SCOTT, J.W. & VANDEWATER, S.L. - Hypothermia and interruption of cartoid or carotid vertebral circulation in the surgical management of intracranial aneurysms. J. Neurosurg. 13:1, 1956.         [ Links ]

4. BUTTLER, A.B. ; PARTAIN, R.A. & NETSKY, N.C - Primary intraventricular hemorrhage. A mild and remediable form. Neurology 2:675, 1972.         [ Links ]

5. CARAM, P.C.; SHAKEY, P.C. & ALVORD, E.C. - Thalamic angioma and aneurysm of the choroidal artery with intraventricular hematoma. J. Neurosurg. 17:347, 1960.         [ Links ]

6. CARPENTER, M.B. ; NOBACK, C.R. & MASS, M.C. - The anterior choroidal artery: its origins, course, distribuition and variations. Arch. Neurol. Psychiat. 71:714, 1954.         [ Links ]

7. CRESSMAN, M.R. & HAYES, G.J. - Traumatic aneurysm of the anterior choroidal artery. J. Neurosurg. 24:102, 1966.         [ Links ]

8. DRAKE, C.G. ; VANDERLINDEN, R.G. & AMACHER, A.L. - Carotid-choroidal aneurysms. J. Neurosurg. 29:32, 1967.         [ Links ]

9. EPSTEIN, F. ; RANSOHOFF, J. & BUDZILOVICH, G.N. - The clinical significance of junctional dilatation of the posterior communicating artery. J. Neurosurg. 33:529, 1970.         [ Links ]

10. FUJII, K. ; LENKEY, C. & RHOTON, A.L. - Microsurgical anatomy of the arteries: lateral and third ventricles. J. Neurosurg. 52:165, 1980.         [ Links ]

11. GALATIUS-JENSEN, F. & DINGBERG, V. - Anastomosis between anterior choroidal artery and posterior cerebral artery demonstrated by angiography. Radiology 81:542, 1963.         [ Links ]

12. GIBO, M. ; CARVER, C.C. ; RHOTON, A.L,.; LENKEY, C. & MITCHELL, R.J. - Microsurgical anatomy of the middle cerebral artery. J. Neurosurg: 54:151, 1981.         [ Links ]

13. GIBO, M. ; LENKEY, C. & RHOTON, A.L. - Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J. Neurosurg. 55:560, 1981.         [ Links ]

14. HERMAN, L.H. ; FERNANDO, O.U. & GURDIJAN, E.S. - The anterior choroidal artery: anatomical study of its area of distribuition. Anat. Rec. 154:95, 1966.         [ Links ]

15. LOCKSLEY, H.B. - Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section V. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations based on 6368 cases in the cooperative study. J. Neurosurg. 25:219, 1966.         [ Links ]

16. MORELLO, A. & COOPER, I.S. - Artériographie anatomy of the anterior choroidal artery. Amer. J. Roentgenol. 73:748, 1955.         [ Links ]

17. NAKAO, S. ; KIKUCHI, H. & TAKAHASHI, N. - Successful cliping of carotid ophtalmie aneurysms through a contralateral pterional approach. J. Neurosurg. 54:532, 1981.         [ Links ]

18. ONO, M. ; ONO, M. ; RHOTON, A.L. & BARRY, M. - Microsurgical anatomy of the region of tentorial incisura. J. Neurosurg. 60:365, 1984.         [ Links ]

19. OTOMO, E. - Anterior choroidal artery. Arch. Neurol. 13:651, 1965.         [ Links ]

20. PAPO, I.; SALVOLINI, V. & CARVIELLI, G. - Aneurysms of the anterior choroidal artery with intraventricular hematoma and hydrocephalus: case report. J. Neurosurg. 39:255, 1973.         [ Links ]

21. PERRIA, L. : VIALE, G.L. & RIVANO, C. - Anéurysmes de la jonction carotide interne-choroidienne artérieure. Acta neurochir. (Wien) 21:153, 1969.         [ Links ]

22. PERTUISSET, B. ; ARON, D. ; DILENCE, D. & MAZALTON, A. - Les syndromes de 1 artérie choroidienne antérieure: étude clinique et radiologique. Rev. neurol. (Paris) 106:286, 1962.         [ Links ]

23. RAND, R.W. ; BROWN, W.J. & STERN, W.E. - Surgical occlusion of anterior choroidal artery in Parkinsonism: clinical and neurological findings. Neurology 6:390, 1956.         [ Links ]

24. RHOTON, A.L. - Anatomy of saccular aneurysms. Surg. Neurol. 14:59, 1980.         [ Links ]

25. RHOTON, A.L. ; FUJII, K. & FRADD, B. - Microsurgical anatomy of the anterior choroidal artery. Surg. Neurol. 12:171, 1979.         [ Links ]

26. ROSNER, S.S. ; RHOTON, A.L. ; ONO, M. & BARRY, M. - Microsurgical anatomy of the anterior perforating arteries. J. Neurosurg. 61:468, 1984.         [ Links ]

27. SAEKI, N. & RHOTON, A.L. - Microsurgical anatomy of the upper basilar artery and posterior circle of Willis. J. Neurosurg. 46:563, 1977.         [ Links ]

28. SCHMIDEK, H.H. - Surgical management of aneurysms of the internal carotid: posterior communicating, anterior choroidal, and bifurcation aneurysms. In H.H. Schmidek & W.H. Sweet (eds.): Operative Neurosurgical Techniques. Ed 2. Grune & Stratton, New York, 1982, vol. 2, pg. 855.         [ Links ]

29. SJOGREN, V.E. - The anterior choroidal artery. Acta radiol. 46:143, 1956.         [ Links ]

30. STEEGMAN, A.T. & ROBERTS, J.N. - The syndromes of the anterior choroidal artery. J. amer. med. Assoc. 104:1695, 1935.         [ Links ]

31. STRULLY, K.J. - Successful removal of intraventricular aneurysms of the anterior choroidal artery. J. Neurosurg. 2:317, 1955.         [ Links ]

32. YASARGIL, M.G.; ANTIC, J. & LACIGA, R. - Microsurgical pterional approach to aneurysm of the basilar bifurcation. Surg. Neurol. 6:83, 1976.         [ Links ]

33. YASARGIL, M.G. & FOX, J.L. - The microsurgical approach to intracranial aneurysms. Surg. Neurol. 3:7, 1975.         [ Links ]

34. YASARGIL, M.G.; KASDAGLIS, K.; JAIW, K.K. & WEBWE, H.P. - Anatomical observations of the subaracnoid cisterns of the brain during surgery. J. Neurosurg. 44:298, 1976.         [ Links ]

35. YASARGIL, M.G.; YONAS, H. & GASSER, J.C. - Anterior choroidal artery aneurysms: their anatomy and surgical significance. Surg. Neurol.: 9:129, 1978.         [ Links ]

 

 

Clínica Neurológica, Hospital das Clínicas - Caixa Postal ¡461 - 01000 - São Paulo, SP -Brasil.