Abstract
Cerebral aneurysms arise at the bifurcation of blood vessels. They are primarily saccular in shape, but may have additional lobules or “nipples”. Far less commonly, fusiform dilatation or ectasia of intracranial vessels occurs and in some cases may be associated with connective tissue or atherosclerotic disease. Most saccular aneurysms occur in relation to the anterior cerebral artery (35%), followed by the internal carotid artery (30%), and the middle cerebral artery (25%). About 10% arise from the posterior circulation. The formation of cerebral aneurysms was originally attributed to the presence of developmental defects in the tunica media, but defects in this layer occur as frequently in extracranial vessels where saccular aneurysms are rare. Furthermore, cerebral aneurysms are rarely seen in children.
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Lindsay, K. et al. (2010). Vascular Diseases. In: Lumenta, C., Di Rocco, C., Haase, J., Mooij, J. (eds) Neurosurgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79565-0_6
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