Document Detail

Posterior cerebral artery aneurysm associated with unilateral internal carotid artery agenesis--Case report.
MedLine Citation:
PMID:  8657336     Owner:  NLM     Status:  MEDLINE    
A 38-year-old housewife presented with a ruptured aneurysm associated with unilateral internal carotid artery agenesis. She had been in good health until May 31, 1994, when she was admitted to our facility immediately after sudden onset of headache and nausea. She was alert and exhibited no focal neurological deficit on admission. Cerebral angiography demonstrated an aneurysm arising from the junction of the horizontal segment of the right posterior cerebral artery and posterior communicating artery. The right internal carotid artery was totally absent. High resolution computed tomography demonstrated absence of the right carotid canal in the skull base. Neck clipping of the aneurysm was carried out through the right pterional approach on June 2. She returned home 52 days after the surgery with mild paresis of the left upper extremity and has since resumed household activities. Early surgery may be recommended in a patient with a ruptured aneurysm associated with agenesis of the internal carotid artery to prevent catastrophic rebleeding, if the initial insult is mild and subsequent vasospasm is unlikely to occur.
M Ide; M Jimbo; M Yamamoto; S Hagiwara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  35     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1996-07-26     Completed Date:  1996-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  825-9     Citation Subset:  IM    
Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital.
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MeSH Terms
Aneurysm, Ruptured / diagnosis,  physiopathology*
Carotid Artery, Internal / abnormalities*
Cerebral Angiography
Cerebral Arteries / physiopathology*
Intracranial Aneurysm / diagnosis,  physiopathology*
Subarachnoid Hemorrhage / complications,  physiopathology
Tomography, X-Ray Computed

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