Document Detail

"Subclinoid" carotid aneurysm with erosion of the anterior clinoid process and fatal intraoperative rupture.
MedLine Citation:
PMID:  1513443     Owner:  NLM     Status:  MEDLINE    
We present the case of a patient with an aneurysm of the right internal carotid artery with subarachnoid hemorrhage. The aneurysm had resulted in erosion of the anterior clinoid process, but this was not recognized preoperatively. Intraoperative rupture during drilling of the clinoid necessitated vigorous packing that led to unintended carotid occlusion with subsequent fatal cerebral infarction. Preoperative recognition of the clinoid erosion may have prevented this catastrophe. To call attention to the potential for intraoperative rupture during exposure, we suggest the term subclinoid aneurysm to refer to aneurysms of the internal carotid artery that grow superolaterally and remain confined under the anterior clinoid process.
K Korosue; R C Heros
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  31     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-10-01     Completed Date:  1992-10-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  356-9; discussion 359-60     Citation Subset:  IM    
Department of Neurosurgery, University of Minnesota, Minneapolis.
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MeSH Terms
Carotid Artery Diseases / diagnosis,  pathology,  surgery*
Carotid Artery, Internal / pathology,  surgery
Cerebral Angiography
Cerebral Infarction / diagnosis,  pathology,  surgery
Intracranial Aneurysm / diagnosis,  pathology,  surgery*
Intraoperative Complications / diagnosis,  pathology,  surgery*
Rupture, Spontaneous
Subarachnoid Hemorrhage / diagnosis,  pathology,  surgery*

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

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