Summary
Out of 921 patients diagnosed and treated for intracranial aneurysm in 5 cases (0,5%) the co-existence of ruptured aneurysm and occlusion of the internal carotid artery was found. 4 patients were treated surgically-aneurysm clipping-without serious post-operative complications and 6 months follow-up showed satisfactory results. In 4 of 5 cases the aneurysm was located on the anterior communicating artery (ACA); this fact may support the hypothesis concerning a possible role of enhanced blood flow in aneurysm formation and rupture. In cases with good collateral blood flow extra-/intracranial bypass before aneurysm occlusion seems not to be necessary. The risk of operation in those patients is not as high, as might be expected.
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References
Denton IC, Gutmann L (1973) Surgical treatment of symptomatic carotid stenosis and asymptomatic ipsilateral intracranial aneurysm. J Neurosurg 38: 662–665
Fergusson GG (1972) Physical factors in the initiation, growth and rupture of human intracranial saccular aneurysms. J Neurosurg 37: 666–667
Fox JL (1982) Intracranial aneurysms, Vol. I. Springer, New York, pp 398–400
Hassler O (1963) Experimental carotid ligation followed by aneurysmal formation and other morphological changes in the circle of Willis. J Neurosurg 20: 1–7
Jaffa HE, McHenry IC (1968) Cerebral aneurysm following spontaneous carotid occlusion. Neurology 18: 1012–1014
Kataoka K, Taneda M (1982) Cerebral aneuryms with bilateral carotid occlusion. Neurol Med Chir (Tokyo) 22: 744–750
Kirgis HD, Fischer WL, Llewllyn RC (1966) Aneurysms of anterior communicating artery and gross anomalies of the circle of Willis. J Neurosurg 25: 73–78
Kodama N, Suzuki J (1978) Moyamoya disease associated with aneuryms. J Neurosurg 48: 565–569
Martinelli G, Gandini-Colladel E, Lentini A (1968) Studio clinico ed angiographico di un caso di trombosi bilaterale della carotide interna associato and aneurysme del tronco basilare. Nent Radiol 34: 1241–1250
Moyes PD (1969) Basilar aneurysm associated with agenesis of the left internal carotid artery. J Neurosurg 30: 608–611
Nagamine Y, Takahashi S, Sonobe N (1981) Multiple intracranial aneurysms associated with moyamoya disease. J Neurosurg 54: 673–676
Portnoy HD, Avellanosa A (1970) Carotid aneurysm and contralateral carotid stenosis with successful treatment of both lesions. J Neurosurg 32: 476–482
Salar G, Mingrino S (1981) Development of intracranial saccular aneurysms: report of two cases. Neurosurgery 8: 462–465
Scott RM (1982) Rupture of a previous unruptured giant middle cerebral artery aneurysm after extracranial-intracranial bypass surgery. Neurosurgery 10: 600–603
Servo A (1977) Agenesis of the internal carotid artery associated with an aneurysm on the right carotid syphon. J Neurosurg 46: 677–680
Shoumaker RD, Avant WS, Cohen GH (1976) Coincidental multiple intracranial aneurysms and symptomatic carotid stenosis. Stroke 7: 504–506
Spallone A, Cantore G (1981) The role of extracranial carotid abnormalities in the genesis of cerebral aneuysms. J Neurosurg 55: 693–700
Stern J, Whelan M, Brisman R, Cornell JW (1979) Management of extracranial carotis stenosis and intracranial aneurysms. J Neurosurg 51: 147–150
Tasker R (1983) Ruptured berry aneurysm of the anterior ethmoidal artery associated with bilateral spontaneous internal carotid artery occlusion. J Neurosurg 59: 687–691
Weir B (1987) Aneurysms affecting the nervous system. Williams and Wilkins, Baltimore, pp 393–395
Ya§argil MG (1984) Microneurosurgery. Thieme, Stuttgart, pp 313–314
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Bidziński, J., Bonicki, W., Kolity, G.V. et al. Ruptured intracranial aneurysm associated with spontaneous occlusion of internal carotid artery. Acta neurochir 100, 43–45 (1989). https://doi.org/10.1007/BF01405272
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DOI: https://doi.org/10.1007/BF01405272