| Posterior cerebral artery aneurysm associated with unilateral internal carotid artery agenesis--Case report. | |
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MedLine Citation:
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PMID: 8657336 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Ide; M Jimbo; M Yamamoto; S Hagiwara |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurologia medico-chirurgica Volume: 35 ISSN: 0470-8105 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 1995 Nov |
Date Detail:
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Created Date: 1996-07-26 Completed Date: 1996-07-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: JAPAN |
Other Details:
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Languages: eng Pagination: 825-9 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Tokyo Women's Medical College Dai-ni Hospital. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Ruptured / diagnosis, physiopathology* Carotid Artery, Internal / abnormalities* Cerebral Angiography Cerebral Arteries / physiopathology* Female Humans Intracranial Aneurysm / diagnosis, physiopathology* Subarachnoid Hemorrhage / complications, physiopathology Tomography, X-Ray Computed |
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