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Dorsa Internal Carotid Artery Aneurysm Treated by Coil Embolization

Authors
 Jung-Yong AHN  ;  Seong-Oh KWON  ;  Jin-Yang JOO 
Citation
 Neurologia Medico-Chirurgica, Vol.41(12) : 603-606, 1999 
Journal Title
NEUROLOGIA MEDICO-CHIRURGICA
ISSN
 0470-8105 
Issue Date
1999
MeSH
Aneurysm, Ruptured/diagnosis ; Aneurysm, Ruptured/therapy* ; Carotid Artery Diseases/diagnosis ; Carotid Artery Diseases/therapy* ; Carotid Artery, Internal*/pathology ; Cerebral Hemorrhage/diagnosis ; Cerebral Hemorrhage/therapy ; Embolization, Therapeutic* ; Humans ; Intracranial Aneurysm/diagnosis ; Intracranial Aneurysm/therapy* ; Male ; Middle Aged ; Treatment Outcome
Abstract
A 50-year-old male presented with an extremely rare dorsal wall aneurysm of the internal carotid artery manifesting as intracerebral hemorrhage. Computed tomography demonstrated intracerebral hemorrhage on the frontal base. Magnetic resonance imaging clearly showed the hemorrhage was related to an aneurysm of the internal carotid artery. Cerebral angiography disclosed an elongated aneurysm of the dorsal wall of the internal carotid artery. The aneurysm was packed as fully as possible with Guglielmi detachable coils to achieve complete obliteration. The patient was discharged without neurological deficits. Dorsal internal carotid artery aneurysms have a high risk of premature rupture due to their unusual shape and position, adhesion to the brain tissue, and fragile neck. Direct clipping requires careful brain retraction, necessary exposure of the aneurysm, and gentle neck manipulation. Endovascular treatment is an alternative method for obliteration of the aneurysmal sac.
Files in This Item:
T199902443.pdf Download
DOI
10.2176/nmc.41.603
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Joo, Jin Yang(주진양)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172792
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