Publications

Aneurysms of the distal posteri-
or cerebral artery (PCA) are rare
among intracranial aneurysms (1% to
2 % overall incidence) and occur in
young patients.1 Options for manage-
ment include surgical clipping, parent
vessel occlusion and coil embolization,
or occlusion of the parent artery with
or without bypass.2,3 Limited liter-
ature exists on its anesthetic manage-
ment and intraoperative monitoring
for ischemia. Anticipated intra-
operative problems include brain is-
chemia and monitoring for this
ischemia as PCA supplies important
areas of the brain. We discuss the role
of intraoperative evoked potential
monitoring in 2 cases of such aneur-
ysms presenting for surgical clipping.