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A surgical case of paraclinoid carotid aneurysm associated with ipsilateral cervical internal carotid artery dissection.
MedLine Citation:
PMID:  23135031     Owner:  NLM     Status:  In-Data-Review    
This report presents a 60-year-old with a large paraclinoid carotid aneurysm associated with cervical interal carotid artery (ICA) dissection (CICAD). She had a fall while riding a bicycle and hit her head on the ground. Computed tomography scan done at another facility showed a round mass lesion near the sella. Her medical history revealed gradual decrease in left eye vision since two years. Left carotid artery digital subtraction angiography demonstrated a CICAD with an intimal flap and a large paraclinoid aneurysm (15.5 mm in size). She underwent a high-flow bypass with a so-called double-insurance bypass and proximal ligation of the cervical ICA and the postoperative course was uneventful. She was discharged without any new neurological deficits. We suggest that the possible nature of carotid artery dissection (CAD)-related hemodynamic changes should be taken into consideration in cases of intracranial aneurysm associated with CAD.
Satoru Takeuchi; Kojiro Wada; Fumihiro Sakakibara; Kentaro Mori
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  60     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  517-9     Citation Subset:  IM    
Department of Neurosurgery, National Defense Medical College, Saitama, Japan.
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