Summary
A review of a series of 312 giant intracranial aneurysms treated at University Hospital in London, Ontario, Showed that 93 of those aneurysms were located between the intracavernous portion and the bifurcation of the internal carotid artery. Sixty-five of those aneurysms were carotid ophthalmic, 12 were located in the internal carotid-posterior communicating-anterior choroidal artery regions and 16 involved the internal carotid artery bifurcation. For the majority, clinical presentation was related to the mass of the aneurysms and compression of surrounding structures such as visual pathways, ocular motor cranial nerves, the fifth nerve, and hypothalamic-pituitary axis. Fourteen patients presented with subarachnoid hemorrhage. Cerebral angiography, computed tomography and xenon inhalation studies of cerebral blood flow were the tools used to study the morphology of the aneurysm and dynamics of the circle of Willis.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bull JWD (1969) Massive aneurysms at the base of the brain. Brain 92: 535–570
Drake CG (1979) Giant intracranial aneurysms—experience with surgical treatment in 714 patients. Clin Neurosurg 26:12–95
Morley TP, Barr HWK (1969) Giant intracranial aneurysms: diagnosis, course and management. Clin Neurosurg 16:73–94
Sarewar M, Batnitzky S, Schetcher MM (1976) Tumorous aneurysms. Neuroradiology 12:79–97
Guidetti B (1978) Internal carotid-ophthalmic aneurysms —cerebral aneurysms. In: Pia HW, Langmaid C, Zierski J (eds) Advances in diagnosis and therapy. Springer, Berlin Heidelberg New York
Ferguson GG, Drake CG (1980) Carotid ophthalmic aneurysms: the surgical management of those cases presenting with compression of the optic nerves and chiasma alone. Clin Neurosurg 27:263–308
Dawson BH (1958) The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus. Brain 81:207–217
Drake CG, Vanderlinden RG, Amacher AL (1968) Carotid ophthalmic aneurysms. J Neurosurg 29:24–31
Ferguson GG, Drake CG (1981) Carotid ophthalmic aneurysms: visual abnormalities in 32 patients and the result of treatment. Surg Neurol 16:1–8
Jefferson G (1937) Compression of the chiasm, optic nerves and optic tracts by intracranial aneurysms. Brain 60:444–497
Hoff Vout W, Hornabrock RW et al. (1961) Hypopituitarism associated with intracranial aneurysms. Br Med J II: 1190–1194
White JC, Ballantine HT (1961) Intrasellar aneurysms simulating hypophyseal tumors. J Neurosurg 18: 35–50
White JC (1964) Aneurysms mistaken for hypophyseal tumors. Clin Neurosurg 10: 224–250
Sutherland GR, King ME, Peerless SJ, Vezina WC (1982) Platelet interaction within giant intracranial aneurysms. J Neurosurg 56: 53–61
Debrun G, Fox A, Drake C (1981) Giant unclippable aneurysms: treatment with detachable balloons. AJNR 2: 167–173
Pinto R, Kricheff I, Butler A (1979) Correlation of computed tomographic, angiographic and neuropathological changes in giant cerebral aneurysms. Radiology 132: 85–92
Miller JD, Dawad K, Jennett B (1977) Safety of carotid ligation and its role in the management of intracranial aneurysms. J Neurol Neurosurg Psychiatry 40:64–72
Giannotta SL, McGillicuddy JE, Kindt GW (1979) Gradual carotid artery occlusion in the treatment of inaccessible internal carotid artery aneurysm. Neurosurgery 5: 417–421
Ferguson GG, Farrar JK, Drake CG, et al. (1979) CBF measurement as a guide to the safety of internal carotid occlusion in the treatment of carotid aneurysms. Can J Neurol Sci 6:390
Romodanov AP, Shcheglov VI (1982) Intravascular occlusion of saccular aneuryms of the cerebral arteries by means of a detachable balloon. In: Krayenbühl H et al. (eds) Advances and technical standards in neurosurgery, Vol 9. Springer, Wien New York, pp 25–49
Hopkins LN, Grand W (1979) Extracranial—intracranial arterial bypass in the treatment of aneurysms of the carotid and middle cerebral arteries. Neurosurgery 5: 21–23
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Viñuela, F., Fox, A., Chang, J.K. et al. Clinico-radiological spectrum of giant supraclinoid internal carotid artery aneurysms. Neuroradiology 26, 93–99 (1984). https://doi.org/10.1007/BF00339855
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00339855