Document Detail

Intra-mural propagation of a large cavernous internal cerebral artery aneurysm after parent artery sacrifice.
MedLine Citation:
PMID:  19277458     Owner:  NLM     Status:  MEDLINE    
The mechanism of aneurysm growth after isolation from the circulation is not well known. We report a case of a woman who presented with mass effects of a large cavernous internal carotid artery (ICA) aneurysm. The parent vessel harboring the aneurysm was sacrificed but the aneurysm continued to enlarge with propagation of the disease along the vessel wall progressively extending to the middle cerebral artery (MCA) leading to ischemic stroke. This case provides imaging evidence of the role of mural inflammation in the development of certain aneurysms.
Ho-Joon Lee; Sang Hyun Suh; Jae Whan Lee; Dong Ik Kim; Seung Kon Huh; Dong Joon Kim
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-03-07
Journal Detail:
Title:  Acta neurochirurgica     Volume:  151     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-24     Completed Date:  2009-06-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  389-92; discussion 392     Citation Subset:  IM    
Department of Radiology, Yonsei University College of Medicine, Seodaemoon-gu, Seoul, Korea.
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Carotid Artery, Internal / pathology,  radiography,  surgery
Carotid Artery, Internal, Dissection / complications*,  pathology*,  surgery
Cavernous Sinus / pathology*,  radiography,  surgery
Cerebral Angiography
Cranial Nerve Diseases / etiology,  physiopathology
Disease Progression
Infarction, Middle Cerebral Artery / etiology,  pathology,  physiopathology
Intracranial Aneurysm / etiology*,  pathology*,  physiopathology
Magnetic Resonance Imaging
Middle Aged
Middle Cerebral Artery / pathology,  physiopathology,  radiography
Neurosurgical Procedures
Platelet Aggregation Inhibitors / therapeutic use
Postoperative Complications / pathology*,  physiopathology,  radiography
Treatment Failure
Vascular Surgical Procedures
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Platelet Aggregation Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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