Timing and size of flow impingement in a giant intracranial aneurysm at the internal carotid artery

2011 ◽  
Vol 49 (8) ◽  
pp. 891-899 ◽  
Author(s):  
Liang-Der Jou ◽  
Michel E. Mawad
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Internal Carotid ◽  
Giant Intracranial Aneurysm

scholarly journals Thrombosis and spontaneous recanalization of a giant intracranial aneurysm: diagnostic and management pearls in a pediatric patient

2015 ◽  
Vol 15 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Ali Kooshkabadi ◽  
Brian Jankowitz ◽  
Phillip A. Choi ◽  
Gregory M. Weiner ◽  
Stephanie Greene
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Ct Angiography ◽  
Pediatric Patient ◽  
Internal Carotid ◽  
Giant Aneurysm ◽  
Spontaneous Thrombosis ◽  
Giant Intracranial Aneurysm ◽  
Diagnostic Capability

The authors present the case of a boy who was successfully managed through the spontaneous thrombosis of a cavernous internal carotid artery (ICA) aneurysm, the subsequent occlusion of the ICA, its recanalization, and ultimate endovascular sacrifice, using only two angiograms because of the diagnostic capability of CT angiography. Spontaneous recanalization of the ICA following occlusion in the setting of a giant aneurysm has not been previously reported.

Unruptured Giant Intracranial Aneurysm of the Internal Carotid Artery: Late Ocular Symptoms

2014 ◽  
pp. 1-4
Author(s):  
Mia Zoric Geber ◽  
Iva Krolo ◽  
Ognjen Zrinscak ◽  
Eugenia Tedeschi Reiner ◽  
Dario Josip Zivkovic
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Internal Carotid ◽  
Giant Intracranial Aneurysm ◽  
Ocular Symptoms

scholarly journals Regrowth of a Large Intracranial Aneurysm after On-Label Use of the Pipeline Embolization Device

2019 ◽  
Vol 10 (01) ◽  
pp. 142-144 ◽  
Author(s):  
Ching-Jen Chen ◽  
M. Rao Patibandla ◽  
Min S. Park ◽  
M. Yashar Kalani
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Internal Carotid ◽  
Pipeline Embolization Device ◽  
Complete Occlusion ◽  
Residual Component ◽  
First Case ◽  
Aneurysm Occlusion

ABSTRACTDespite the widespread use of the pipeline embolization device (PED), no complete aneurysm regrowth after its placement has been reported in the literature. We report the first case of aneurysm regrowth after the initial follow-up angiography demonstrating near-complete occlusion of the aneurysm and remodeling of the vessel with on-label PED use for a large 20 mm × 24 mm × 22 mm (width × depth × height) cavernous segment internal carotid artery (ICA) aneurysm. The patient was treated with two overlapping PED (4.5 mm × 20 mm and 5 mm × 20 mm). Follow-up angiogram at 4 months after treatment demonstrated remodeling of the ICA with a small residual component measuring approximately 7 mm × 8 mm × 7 mm. However, at 10 months after treatment, there was a complete regrowth of the aneurysm with interval growth, now measuring 25 mm × 28 mm × 18 mm. Despite the high aneurysm occlusion rates reported with the PED, persistent aneurysm filling and aneurysm regrowth, although rare, should not be overlooked.

scholarly journals Isolated Oculomotor Palsy Caused by Intracranial Aneurysm

1947 ◽  
Vol 40 (8) ◽  
pp. 419-432 ◽  
Author(s):  
Geoffrey Jefferson
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Subarachnoid Haemorrhage ◽  
Internal Carotid ◽  
Acute Stage ◽  
Oculomotor Nerve ◽  
Safe Procedure ◽  
Oculomotor Palsy ◽  
Correct Treatment

The present paper is concerned with the 55 aneurysms out of a total of 158 that caused isolated paralysis of the oculomotor nerve. The majority arose from the internal carotid artery after it had pierced the dura (supraclinoid). Rarely the aneurysm sprang from the basilar artery. In two-thirds of the cases there had been a subarachnoid hæmorrhage from leakage. Not more than 10% of patients had arteriosclerosis. Calcification of the sac is not a sign that the aneurysm has thrombosed. The only certain way of demonstrating the position and size of an intracranial aneurysm is by arteriography, which is a safe procedure. The correct treatment is by carotid ligature. In about 8% of normals the circle of Willis is incomplete, therefore percutaneous compression must first be tried. The only fatalities from ligature were in persons in the acute stage of subarachnoid hæmorrhage, not from meningeal bleeding alone. In this type of case a clip applied to the neck of the sac is probably a better method. In the more usual cases where the hæmorrhage has been spontaneously arrested common carotid ligature in the neck is probably a little safer than intracranial clipping.

Persistent Trigeminal Artery Associated with Intracranial Arterial Aneurysm

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 604-607 ◽  
Author(s):  
Román Garza-Mercado ◽  
Elisamaría Cavazos
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Internal Carotid ◽  
The Other ◽  
Persistent Trigeminal Artery ◽  
Arterial Aneurysm ◽  
Carotid Angiography ◽  
Trigeminal Artery ◽  
X Ray

Abstract Two patients with persistent trigeminal artery associated with a ruptured arterial intracranial aneurysm arising from the ipsilateral internal carotid artery at the level of the posterior communicating artery are presented. One patient underwent successful clipping of the aneurysm. The other patient died on the x-ray table shortly after admission during the performance of emergency carotid angiography. In each patient, the anomalous vessel was considered to be incidental.

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