{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:58:54Z","timestamp":1777730334374,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,6,1]],"date-time":"2003-06-01T00:00:00Z","timestamp":1054425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2003,6]]},"abstract":"<jats:p>A 56 year-old woman presented with a ruptured bilobed wide neck aneurysm of the P2 segment of the PCA, atherosclerotic fusiform basilar artery aneurysm, subarachnoid bleeding with negative CT scan and chronic renal failure. She was managed by a cooperative approach involving neurosurgeons, neuroradiologist, neurointensivist, emergency room physicians, nurses and technicians.<\/jats:p>\n                  <jats:p>She underwent operation by proximal clipping for the aneurysm of the PCA. Postoperative neurological deficits include homonymous hemianopsia and ipsilateral third nerve palsy. The operation was performed through asubtemporal approach. At surgery, the aneurysm was located in the distal of the P2 segment of PCA, bilobed up and down, no definitive neck with small distal branches, and was treated by proximal clipping of the PCA aneurysm. The fusiform basilar artery aneurysm was severely atherosclerotic and left untouched.<\/jats:p>\n                  <jats:p>This is a rare case which required a high index of suspicion to detect subarachnoid bleeding from ruptured posterior fossa aneurysm, accurate prediction of the site of bleeding and the location of aneurysm location by conventional angiogram, MRI and MRA, and careful planned surgical strategy with the right approach for the P2 segment of the PCA aneurysm, complicated post operative care with airway management, triple H therapy, nutrition, additional measures and multiple hemodialysis.<\/jats:p>","DOI":"10.1177\/159101990300900208","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:03:47Z","timestamp":1484093027000},"page":"185-192","source":"Crossref","is-referenced-by-count":0,"title":["Bilobed Wide Neck Posterior Cerebral Artery Aneurysm Associated with Fusiform Basilar Aneurysm, Subarachnoid Hemorrhage and Chronic Renal Failure"],"prefix":"10.1177","volume":"9","author":[{"given":"Tan Siauw","family":"Koan","sequence":"first","affiliation":[{"name":"Department of Radiology, St Borromeus Hospital, Bandung; Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,6,1]]},"reference":[{"key":"bibr1-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-10740-9_5"},{"key":"bibr2-159101990300900208","unstructured":"Lasjaunias P: From Aneurysms to Aneurysmal Vasculopathies. 10th Advanced Course of the ESNR. Oslo. 2000."},{"key":"bibr3-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199704000-00001"},{"key":"bibr4-159101990300900208","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.94.5.0728"},{"key":"bibr5-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199411000-00001"},{"key":"bibr6-159101990300900208","first-page":"1128","volume":"23","author":"Hallacq P","year":"2002","journal-title":"Am J Neuroradiol"},{"key":"bibr7-159101990300900208","first-page":"27","volume":"22","author":"Ciceri EE","year":"2001","journal-title":"Am J Neuroradiol"},{"key":"bibr8-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511526947.007"},{"key":"bibr9-159101990300900208","first-page":"19","volume-title":"Vascular Malformation of the Central Nervous system","author":"Armonda RA","year":"1999"},{"key":"bibr10-159101990300900208","volume":"32","author":"Sakata S","year":"1993","journal-title":"Approaches and Procedures Neurosurgery"},{"key":"bibr11-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200008000-00016"},{"key":"bibr12-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198612000-00017"},{"key":"bibr13-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-10172-8"},{"key":"bibr14-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200008000-00016"},{"key":"bibr15-159101990300900208","unstructured":"Schumacher M.: Diagnostic Workup in Cerebral Aneurysms. 10th Advanced Course of the ESNR, Oslo 2000."},{"key":"bibr16-159101990300900208","first-page":"55","volume":"180","author":"Mallouhi A","year":"2003","journal-title":"Am J Radiol"},{"key":"bibr17-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1097\/00002142-200106000-00003"},{"key":"bibr18-159101990300900208","first-page":"132","volume-title":"The Clinical Practice of Critical Care Neurology","author":"Wijdicks EF","year":"1997"},{"key":"bibr19-159101990300900208","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198612000-00017"},{"key":"bibr20-159101990300900208","unstructured":"Byrne JV: Endosaccular Coil Embolisation of Intracranial Aneurysms. State of the Art. 10th Advanced Course of the ESNR, Oslo 2000."},{"key":"bibr21-159101990300900208","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.2.0141"},{"key":"bibr22-159101990300900208","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.91.1.0139"},{"key":"bibr23-159101990300900208","first-page":"276","volume-title":"Interventional Neuroradiology. Strategies and practical techniques","author":"Connors JJ","year":"1999"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/159101990300900208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/159101990300900208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:58:13Z","timestamp":1777460293000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/159101990300900208"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2003,6]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,6]]}},"alternative-id":["10.1177\/159101990300900208"],"URL":"https:\/\/doi.org\/10.1177\/159101990300900208","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,6]]}}}