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  • Title: Distal anterior choroidal artery aneurysm: intraoperative localization and treatment.
    Author: Knuckey NW, Epstein MH, Haas R, Sparadeo F.
    Journal: Neurosurgery; 1988 Jun; 22(6 Pt 1):1084-7. PubMed ID: 3419573.
    Abstract:
    Distal anterior choroidal artery aneurysms with intraventricular hemorrhage are rare and difficult to treat. We report the case of a 46-year-old woman with a left distal anterior choroidal artery aneurysm presenting as a typical subarachnoid hemorrhage from which she had no focal neurological signs. Because the aneurysm was located within the dominant deep temporal lobe, we used intraoperative computed tomography to guide a probe to the aneurysm to allow minimal dissection. This is the first report of a successfully treated distal anterior choroidal artery aneurysm. Reports of this unusual aneurysm and methods of approaching deep temporal lesions are reviewed.
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