Large fusiform posterior cerebral artery aneurysm (P2 segment): successful trapping and excision via subtemporal approach.
A 62-year-old man presented with a 2-month history of right occipito-parietal headache and worsening ipsilateral ptosis. CT scan and cerebral angiography revealed a large fusiform aneurysm of the P2 segment of the right posterior cerebral artery (PCA). The aneurysm was successfully trapped and subsequently excised via sub temporal approach leaving no additional neurological deficits to our patient.
We present our recent experience in the last ten cases of Spiegel's hernia, studying its form of presentation and clinical manifestations. We studied emergency cases because they presented intestinal obstruction and were handled as a surgical emergency. We remark the noninvasive diagnostic methods, mainly echography. The surgical treatment for repair of the hernial defect and the material used was the same in every case. The morbi-mortality of the series was null and there was no recurrence in the period in which we studied and followed-up the series.