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.

Delayed appearance of a traumatic intracranial aneurysm

2001 ◽  
Vol 94 (4) ◽  
pp. 637-641 ◽  
Author(s):  
Mokbel K. Chedid ◽  
John R. Vender ◽  
Steven J. Harrison ◽  
Dennis E. McDonnell
Keyword(s):  
Vietnam War ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Treatment Options ◽  
Artery Aneurysm ◽  
Imaging Studies ◽  
Content Type ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Traumatic Aneurysms

✓ Giant traumatic intracranial aneurysms are rare, and thus their incidence and clinical behavior are poorly understood. In most cases, traumatic aneurysms develop and become symptomatic within months following injury. The authors present the case of a 46-year-old war veteran, in whom a giant internal carotid artery aneurysm developed as a result of a penetrating cranial shrapnel injury sustained 25 years earlier during the Vietnam war. The aneurysm had not been evident on previous imaging studies. At surgery, a piece of shrapnel was found embedded in the dome of the aneurysm. The presentation, diagnosis, management, and treatment options related to this lesion are discussed.

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.

scholarly journals Vidinės miego arterijos aneurizmų gydymo rezultatai

2005 ◽  
Vol 3 (1) ◽  
pp. 0-0
Author(s):  
Egidijus Barkauskas ◽  
Povilas Pauliukas ◽  
Kęstutis Laurikėnas ◽  
Gytis Šustickas
Keyword(s):  
Blood Flow ◽  
Surgical Treatment ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
The Brain

Egidijus Barkauskas, Povilas Pauliukas, Kęstutis Laurikėnas, Gytis ŠustickasVšĮ Vilniaus greitosios pagalbos universitetinė ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Įvadas Straipsnyje aprašomos palyginti retų arterijos didelių ir gigantiškų vidinės miego aneurizmų atsiradimo priežastys. Skirtingai nuo kitų straipsnių, čia kartu apžvelgiamos vidinės miego arterijos ekstrakranijinės ir intrakranijinės dalių aneurizmos. Aprašomos įvairios aneurizmų diagnostikos ir gydymo perrišant kaklo vidinę miego arteriją galimybės. Šio straipsnio tikslas – apžvelgti ir įvertinti Vilniaus neuroangiochirurgijos centre atliktų vidinės miego arterijos gigantiškų aneurizmų operacijų rezultatus, parodyti šių operacijų efektyvumą ir jų atlikimo metodus. Ligoniai ir metodai Straipsnyje nagrinėjami 12 ligonių, kuriems buvo vidinės miego arterijos aneurizmos, tyrimo ir gydymo duomenys. Ligonių amžius svyravo nuo 42 iki 80 metų. Visi ligoniai operuoti. Operacijos atliktos per 35 metų laikotarpį. Keturi ligoniai operuoti nuo didelių ir gigantiškų intrakranijinių aneurizmų, septyni – nuo ekstrakranijinių vidinės miego arterijos ir vienas – išorinės miego arterijos aneurizmų. Didelėmis vadinome tokias aneurizmas, kai intrakranijinių aneurizmų vidinis skersmuo didesnis negu 3 mm, o ekstrakranijinių – 3–4 ir daugiau kartų viršijo normalų tos pačios arterijos spindį. Aptariami įvairūs chirurginio gydymo metodai, daugiausia dėmesio kreipiant į aneurizmos užtrombavimo arba rezekcijos būdus ir smegenų kraujotakos atkūrimo sąlygas. Rezultatai Mūsų klinikoje iš 12 ligonių, operuotų nuo vidinės miego arterijos aneurizmos, nė vienas nemirė, naujų insultų neįvyko, ir tik 2 ligoniams iš keturių po intrakranijinių aneurizmų užtrombavimo liko neženkli hemiparezė, kuri vienai ligonei buvo nustatyta atvykus į ligoninę, o kitai hemiparezė pasireiškė dar prieš operaciją, po nepavykusio aneurizmos užkimšimo balionu. Prieš operaciją 3 ligonius varginę stiprūs galvos skausmai, plintantys į akiduobę, išnyko. Visi 12 ligonių išrašyti į namus. Išvados Pasitelkiant šiuolaikinę diagnostinę aparatūrą daugumą intrakranijinių ir ekstrakranijinių vidinės miego arterijos aneurizmų galima diagnozuoti prieš joms plyštant. Aneurizmų gydymui gali būti naudojami įvairūs metodai. Nepavykus tiesiogiai atkurti kraujotakos ir esant blogai smegenų kolateralinei apytakai galima taikyti vieną iš alternatyvių gydymo metodų, kai vidinė miego arterija perrišama, aneurizma užtrombuojama, atliekama ekstraintrakranijinio nuosruvio operacija. Mums prieinamomis operacijų metodikomis gauname gerus aneurizmų gydymo rezultatus. Reikšminiai žodžiai: vidinė miego arterija, aneurizma, vidinės miego arterijos perrišimas, ekstraintrakranijinio nuosruvio operacija Results of treatment of internal carotid artery aneurysms Egidijus Barkauskas, Povilas Pauliukas, Kęstutis Laurikėnas, Gytis ŠustickasVilnius University Emergency Hospital,Šiltnamių str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] Background/objective The causes of development of big and giant aneurysms of internal carotid artery are described in this paper. Differently from other papers, the intracranial and extracranial aneurysms are analyzed together in this article. Various diagnostic and treatment procedures, including ligation of internal carotid artery in the neck, are described. The main purpose of this paper is to describe and evaluate the results of operations of giant aneurysms of the internal carotid artery performed at Vilnius Neurovascular Surgery Center as well as to show the effectiveness of these operations and the methods of performing these procedures. Patients and methods Twelve patients were investigated and operated on for internal carotid artery aneurysm during a 35-year period. The age of patients was between 42 and 80 years. Four patients were operated on for big and giant intracranial aneurysms, 7 for extracranial internal carotid artery aneurysms and 1 for external carotid artery aneurysm. As big aneurysms were interpreted intracranial aneurysms with the internal diameter exceeding 3 mm and extracranial aneurysms exceeding in diameter the normal lumen of the internal carotid artery 3–4 times or more. Different methods of surgical treatment are analyzed; special attention is paid to exclusion and resection of the aneurysm as well as to the restoration of blood flow to the brain. Results Twelve patients were operated on in our center for aneurysm of the internal carotid artery. There were no deaths and strokes. Two patients had light hemiparesis after the induced thrombosis of the intracranial aneurysm. Both of them had it prior to the operation; one of them after the attempted unsuccessful balloon occlusion of the aneurysm. Three patients have had severe headache irradiating into the orbit before treatment. After the operation the headache disappeared. All patients were discharged from the hospital. Conclusions The modern diagnostic equipment allows to diagnose most of the intracranial and ectracranial internal carotid artery aneurysms before they rupture. Different methods can be applied for the treatment of these aneurysms. The extra-intracranial shunting procedure can be used as an alternative revascularization method in cases when direct blood flow to the brain cannot be restored and collateral brain blood flow is insufficient. Good results of surgical treatment of internal carotid artery aneurysms were achieved using the techniques described in this article. Keywords: internal carotid artery aneurysm, ligation of the internal carotid artery, extra-intracranial shunting operation

scholarly journals Persistent hyperprolactinemia, transient hypopituitarism, and transient contralateral third nerve palsy after endovascular treatment of an internal carotid artery aneurysm: Case report and review of the literature

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094871
Author(s):  
Tim Wende ◽  
Gordian Hamerla ◽  
Ulf Quäschling ◽  
Amelie Haase ◽  
Jürgen Meixensberger ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Third Nerve Palsy ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

Intracranial aneurysms have an estimated prevalence of about 3%. A rare subgroup are aneurysms of the internal carotid artery that develop medially into the sellar region. Due to the risk of rupture with subsequent subarachnoid hemorrhage and of compression of surrounding structures, mechanical occlusion is advised. Hypopituitarism is not a rare disease and most often related to pituitary adenoma. Only 0.17% of cases with hypopituitarism are caused by unruptured intracranial aneurysms. Today, the predominant treatment of these aneurysms is endovascular coiling or application of flow diverting stents. We present the case of a 60-year-old female patient, who was treated with endovascular coiling for a right-sided, intracavernous, incidental internal carotid artery aneurysm. On postinterventional day 6, she was readmitted with contralateral third nerve palsy, mild hyponatremia und thyreotropic insufficiency. The symptoms recovered after anti-edematous treatment with corticosteroids; only an asymptomatic hyperprolactinemia persisted. To the best of our knowledge, this is the first case report of transient contralateral cranial nerve palsy combined with transient hypopituitarism after endovascular treatment of an internal carotid aneurysm. As treatment we propose corticosteroids, if necessary in combination with nonsteroidal anti-inflammatory drugs, in order to inhibit inflammatory reactions of the aneurysm wall compromising the nearby, partially compressed neural structures.

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.

scholarly journals Gargantuan internal carotid artery aneurysm—a surgical challenge

2021 ◽  
Author(s):  
Ashutosh Kumar Pandey ◽  
Shivanesan Pitchai ◽  
Harishankar Ramachandran Nair ◽  
P M Vineeth Kumar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Thromboembolic Event ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of

Abstract Extracranial carotid artery aneurysms are a rarely reported entity. Here, we describe an unusually large internal carotid artery aneurysm in a 76-year-old female, with progressive enlargement and history of thromboembolic event. She was managed successfully with an open repair and common carotid artery to internal carotid artery bypass.

scholarly journals First Case of Endovascular Treatment of Ruptured Internal Carotid Artery Aneurysm Using Stent Assisted Coiling at the Department of Neurosurgery in Skopje

PRILOZI ◽  
2015 ◽  
Vol 36 (3) ◽  
pp. 150-153
Author(s):  
Venko Filipce ◽  
Aleksandar Caparoski ◽  
Zoran Milosevic
Keyword(s):  
Intracranial Aneurysms ◽  
Endovascular Procedures ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Artery Aneurysm ◽  
First Case ◽  
Technology Advancement ◽  
Internal Carotid Artery Aneurysm ◽  
The Us ◽  
Aneurysm Coiling

Abstract The management of intracranial aneurysms has changed dramatically in recent years. The science and technology advancement have resulted in new therapeutic options for their treatment. There is an increased interest among neurosurgeons to perform endovascular procedures for intracranial aneurysms. This has become a part of the neurosurgical residency in the US. We are presenting our first experience of ruptured aneurysm coiling using stent assisted technique.

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.

Internal carotid artery aneurysm presenting as orofacial pain

2012 ◽  
Vol 126 (8) ◽  
pp. 851-853 ◽  
Author(s):  
S J Stone ◽  
V Paleri ◽  
K S Staines
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Orofacial Pain ◽  
Artery Aneurysm ◽  
Interdisciplinary Management ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Occipital Headache

AbstractObjectives:We report a case of an internal carotid artery aneurysm presenting as orofacial pain.Method:Case report and discussion.Results:A 59-year-old patient presented with a four-year history of chronic oral pain accompanied by a right-sided occipital headache. No local organic pathology was detected, and a provisional diagnosis of persistent idiopathic facial pain was made. A neurosurgery referral was made to exclude neurovascular pathology, which resulted in the detection of an aneurysm originating from the right posterior communicating artery. This was successfully treated by coil embolisation, with subsequent resolution of symptoms.Conclusion:In this patient, an atypical history of pain with no other neurological signs or symptoms, other than accompanying occipital headache, led to the discovery of an intracranial aneurysm. This case highlights the need for appropriate referral and imaging in cases in which the clinical history and findings are not classical, and also emphasises the need for interdisciplinary management.

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