Traumatic intracranial internal carotid aneurysm due to gunshot wound

1978 ◽  
Vol 49 (1) ◽  
pp. 100-102 ◽  
Author(s):  
Giuseppe Salar ◽  
Salvatore Mingrino
Keyword(s):  
Carotid Artery ◽  
Gunshot Wound ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Content Type ◽  
Related Literature ◽  
Carotid Artery Aneurysm ◽  
Bullet Wound ◽  
Fine Print

✓ This patient developed an intracranial carotid artery aneurysm after a bullet wound. A review of the related literature, and the pathogenesis of traumatic false and true aneurysms are presented.

Subarachnoid hemorrhage possibly caused by a saccular carotid artery aneurysm within the cavernous sinus

1990 ◽  
Vol 73 (2) ◽  
pp. 301-304 ◽  
Author(s):  
Tatsuya Nishioka ◽  
Akinori Kondo ◽  
Ikuhiro Aoyama ◽  
Kiyoshi Nin ◽  
Jun Takahashi
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Surgical Approach ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Fine Print

✓ Aneurysms arising from the intracavernous portion of the internal carotid artery very rarely rupture. A patient is presented in whom rupture of an aneurysm wholly within the cavernous sinus caused a subarachnoid hemorrhage. The aneurysm was successfully clipped via a direct surgical approach. The possible mechanism by which subarachnoid hemorrhage occurred is briefly discussed.

Rupture of cavernous carotid artery aneurysm causing subdural hematoma and death

1988 ◽  
Vol 69 (4) ◽  
pp. 617-619 ◽  
Author(s):  
Jonathan E. Hodes ◽  
William A. Fletcher ◽  
Daniel F. Goodman ◽  
William F. Hoyt
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Subdural Hematoma ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Intracavernous Carotid Artery ◽  
Cavernous Carotid Artery ◽  
Fine Print

✓ Aneurysms of the intracavernous portion of the internal carotid artery may become very large, but they very rarely rupture. A case is described in which rupture of such a lesion resulted in a lethal massive subdural hematoma with transtentorial herniation. This is the second reported case of substantiated intracranial rupture from a wholly intracavernous carotid artery aneurysm.

Foreign-body granuloma as a complication of wrapping and coating an intracranial aneurysm

1990 ◽  
Vol 72 (2) ◽  
pp. 292-294 ◽  
Author(s):  
Toshihiko Haisa ◽  
Korehito Matsumiya ◽  
Norio Yoshimasu ◽  
Nobuo Kuribayashi
Keyword(s):  
Foreign Body ◽  
Rare Case ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Foreign Body Granuloma ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Aron Alpha ◽  
Fine Print

✓ A rare case is presented in which a foreign-body granuloma developed at the site of muslin wrapping and Aron Alpha A coating of an internal carotid artery aneurysm. The importance of avoiding the use of muslin, especially close to the optic nerve and chiasm, is emphasized.

The minor leak preceding subarachnoid hemorrhage

1987 ◽  
Vol 66 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Richard Leblanc
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Lumbar Puncture ◽  
Computerized Tomography ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Content Type ◽  
A Minor ◽  
Fine Print

✓ Thirty-four of 87 consecutive patients with subarachnoid hemorrhage from a cerebral aneurysm had a premonitory minor leak. There were 12 men and 22 women, aged 25 to 73 years (mean 44.4 years). Twenty-two had a small and 12 had a large aneurysm located on the internal carotid artery (17 cases), anterior communicating artery (10 cases), middle cerebral artery (five cases), and pericallosal artery (two cases). Fifty-two percent of patients with a minor leak from an internal carotid artery aneurysm had ipsilateral, hemicranial, hemifacial, or periorbital pain. Half of the patients initially saw a physician, but in no case was the correct diagnosis made. Twenty-five patients had a major rupture within 24 hours to 4 weeks after findings suggesting a minor leak, with a mortality rate of 53%. Nine other patients were diagnosed by lumbar puncture or computerized tomography (CT) scanning after initial misdiagnosis and were operated on, without mortality, before a major rupture could occur. The CT scans were negative in 55% of patients with a minor leak, but lumbar puncture, when performed, was always positive. A minor leak prior to major aneurysmal rupture is a common occurrence and, if unrecognized, is associated with a high mortality. Computerized tomography scanning is unreliable in diagnosing this event, and lumbar puncture is the examination of choice once intracranial hypertension has been ruled out.

Simultaneous microscopic and endoscopic monitoring during surgery for internal carotid artery aneurysms

2004 ◽  
Vol 101 (6) ◽  
pp. 989-995 ◽  
Author(s):  
Hiroyuki Kinouchi ◽  
Toshiharu Yanagisawa ◽  
Akira Suzuki ◽  
Tohru Ohta ◽  
Yoshitaka Hirano ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Bone Structure ◽  
Surgical Complication ◽  
Artery Aneurysm ◽  
Content Type ◽  
Paraclinoid Aneurysms ◽  
Perforating Arteries ◽  
Fine Print

Object. The authors of this study evaluated the efficacy of simultaneous microscopic and endoscopic monitoring during surgery for internal carotid artery (ICA) aneurysms. Methods. The endoscopic technique was applied during microsurgery in 11 patients with 13 aneurysms. Nine of these lesions were located on the posterior communicating artery (PCoA), three in the paraclinoid region, and one on the anterior choroidal artery (AChA). Eight patients had unruptured aneurysms and three had ruptured aneurysms. The endoscope was introduced after first exposing the aneurysm through the microscope and was gripped firmly by an air-locked holding arm fitted with a steering system throughout the entire surgery, including dissection of the perforating arteries and application of the aneurysm clips. Regarding paraclinoid aneurysms, clips were applied through direct visualization of the ophthalmic artery and the proximal neck. In a case involving a superior hypophyseal artery aneurysm in the paraclinoid segment, a ring clip was applied without removing the bone structure around the optic canal. In all aneurysms of the PCoA and the AChA, perforating arteries behind the lesion were identified and dissected using endoscopic control. The aneurysm clip was applied in the best position in a single attempt in 10 of 11 patients. There was no surgical complication related to the endoscopic procedures. Conclusions. Simultaneous monitoring with the microscope and endoscope is extremely useful in applying clips to ICA aneurysms. This combined method allows for direct dissection of the aneurysm, perforating vessels, and the main trunk in an area not visible through the microscope's eyepiece and promises better surgical results.

Enlargement of an intracranial aneurysm in the eighth decade of life

1985 ◽  
Vol 62 (4) ◽  
pp. 600-602 ◽  
Author(s):  
Ralph G. Dacey ◽  
David Pitkethly ◽  
H. Richard Winn
Keyword(s):  
Elderly Patients ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Fine Print ◽  
Eighth Decade

✓ The management of intracranial aneurysms in elderly patients remains controversial, since the natural history of these lesions is not well understood. The authors describe the case of a 76-year-old woman with documented enlargement of an internal carotid artery aneurysm over 3 years. The management of intracranial aneurysms in elderly patients is discussed.

Congenital anastomosis between the vertebral artery and internal carotid artery in the neck

1979 ◽  
Vol 51 (5) ◽  
pp. 697-699 ◽  
Author(s):  
Dwight Parkinson ◽  
Venkatesha Reddy ◽  
R. T. Ross
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Vertebral Artery ◽  
Rare Case ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Content Type ◽  
Anterior Communicating Artery Aneurysm ◽  
Fine Print

✓ A rare case of anastomosis between the vertebral artery and the internal carotid artery in the neck of a patient with an anterior communicating artery aneurysm is reported.

Superior hypophyseal artery aneurysm

1991 ◽  
Vol 74 (3) ◽  
pp. 501-503 ◽  
Author(s):  
Wesley Y. Yapor ◽  
Robert M. Crowell
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Operative Approach ◽  
Content Type ◽  
Technical Details ◽  
Angiographic Findings ◽  
Fine Print

✓ Two cases of saccular intracranial aneurysms arising from the superior hypophyseal artery take-off from the internal carotid artery are presented. The angiographic findings and technical details of the operative approach are discussed. Particular attention is focused on the use of fenestrated angled clips.

An approach to a basilar aneurysm above the bifurcation of the internal carotid artery

1983 ◽  
Vol 59 (6) ◽  
pp. 1082-1084 ◽  
Author(s):  
Shigeaki Kobayashi ◽  
Kenichiro Sugita ◽  
Fukuo Nakagawa
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Bifurcation ◽  
Content Type ◽  
Temporal Lobes ◽  
Basilar Artery Aneurysm ◽  
Perforating Arteries ◽  
Fine Print

✓ The authors report a case of a basilar artery aneurysm approached by the transsylvian route; the aneurysm was successfully clipped through the space distal to the carotid bifurcation and between the frontal and temporal lobes. This approach is useful when the internal carotid artery is short, sclerotic, and difficult to mobilize. Special care should be taken when retracting perforating arteries and the posterior communicating artery.

Microsurgical treatment of internal carotid artery aneurysms

1977 ◽  
Vol 47 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Sidney A. Hollin ◽  
Robert E. Decker
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Standard Procedure ◽  
Surgical Techniques ◽  
Artery Aneurysm ◽  
Neurological Deficits ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

✓ Seventy consecutive cases of internal carotid artery aneurysm were operated on utilizing the surgical microscope. There were three deaths (4.3% mortality), one of which occurred in a deeply comatose apneic patient. Fifty-nine patients (84%) had excellent results. Four (6%) had postoperative morbidity directly related to their operation; three of them were operated on within 2 weeks after subarachnoid hemorrhage and had neurological deficits attributed to cerebrovascular spasm. The low morbidity and mortality rates are partially related to patient selection but also significantly influenced by improved surgical techniques made possible by the microscope and microsurgical instrumentation. It is the authors' opinion that microsurgery should be standard procedure for craniotomy for intracranial aneurysm. It is suggested that future reported series of aneurysm therapy, regardless of the method of treatment employed, should be compared with the anticipated natural history.

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