Journal Pre-proof
Embolization and open decompression of a giant aneurysm involving the P2 segment
of the posterior cerebral artery
Kyle P. O’Connor, BS, Allison E. Strickland, MD, Griffin Ernst, MD, Camille K. Milton,
BS, Ahmed A. Cheema, MD, Bradley N. Bohnstedt, MD
PII:

S1878-8750(19)32496-9

DOI:

https://doi.org/10.1016/j.wneu.2019.09.066

Reference:

WNEU 13365

To appear in:

World Neurosurgery

Received Date: 12 July 2019
Revised Date:

11 September 2019

Accepted Date: 12 September 2019

Please cite this article as: O’Connor KP, Strickland AE, Ernst G, Milton CK, Cheema AA, Bohnstedt BN,
Embolization and open decompression of a giant aneurysm involving the P2 segment of the posterior
cerebral artery, World Neurosurgery (2019), doi: https://doi.org/10.1016/j.wneu.2019.09.066.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition
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© 2019 Published by Elsevier Inc.

Embolization and open decompression of a giant aneurysm involving the P2 segment of the
posterior cerebral artery
Kyle P. O’Connor, BS1; Allison E. Strickland, MD1; Griffin Ernst, MD1; Camille K. Milton,
BS1; Ahmed A. Cheema, MD1; Bradley N. Bohnstedt, MD1

1

Department of Neurosurgery

University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma
Corresponding Author:
During Submission:

After potential publication:

Camille K. Milton, BS

Bradley Bohnstedt, MD

camille-milton@ouhsc.edu

bradley-bohnstedt@ouhsc.edu
Department of Neurosurgery

University of Oklahoma Health Sciences Center
1000 N Lincoln Boulevard, Suite 4000
Oklahoma City, Oklahoma 73104
Tel: (405) 271-4912
Fax: (405) 271-3091
Running Title: Treatment of giant aneurysm
Keywords: aneurysm, cerebrovascular, craniotomy, embolization, giant aneurysm, operative
video, vascular neurosurgery
Declarations of Funding: The authors have no funding disclosures for the content presented in
this video
Acknowledgements: none

1

Abstract

2

A 5-year-old girl presented to the clinic with chronic intermittent left-sided headaches. The

3

patient underwent CT angiography which demonstrated a giant aneurysm that involved the P2

4

segment of the left posterior cerebral artery. Before proceeding with treatment, consent was

5

obtained from the patient’s legal guardian. A trapping-evacuation technique was used for

6

proximal control and decompression so that a clip could be placed on the proximal inflow artery

7

of the aneurysm. First, embolization was performed for aneurysm trapping and parent vessel

8

sacrifice. Two days later, the patient was taken to the operating room for open surgical

9

decompression, clipping, and reconstruction. Heparin was administered during the embolization

10

stage of the operation. The patient did well post-operatively and was discharged home. 3-month

11

follow-up evaluation demonstrated a right superior homonymous quadrantanopia and no other

12

neurological deficits.

Abbreviations
No abbreviations used

Statement of disclosure
Declarations of interest: none