Skip to main content
SpringerLink
Log in

An angiographic study of incidence and morphology of infundibular dilatation of the posterior communicating artery

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

In the last 9 years, infundibular dilatation (ID) has been sought in 260 aneurysm (An) cases and 398 carotid angiogram's (CAG) to reveal its incidence and morphology. Findings were as follows:

  1. 1)

    The incidence was about double that so far published.

  2. 2)

    Small ID, usually triangular in shape, tended to become round as it grew larger (P<0.01).

  3. 3)

    Large ID favored young age (P<0.05).

  4. 4)

    In internal carotid-posterior communicating aneurysm (IC-P com-An) cases, a high incidence of ID was noted as compared to other An cases (P<0.05), and intermediate or large, round ID accounted for high ratios.

  5. 5)

    Cases with a history of hypertension showed a high large ID ratio (P<0.05).

  6. 6)

    Cases with well developed P com A had a high ratio of large, round ID (P<0.01).

  7. 7)

    In cases with a large divergent angle of ICA and P com A, intermediate or large, round ID was found in high ratio (P<0.05).

  8. 8)

    Aggressive follow-up or treatment was thought necessary in cases which posses the factors mentioned.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Drake CG (1966) On the surgical treatment of ruptured intracranial aneurysms. Clin Neurosurg 13: 122–155

    Google Scholar 

  2. Ebina K, Suzuki M, Andoh A, Saitoh K, Iwabuchi T (1982) Recurrent of cerebral aneurysm after initial neck clipping. Neurosurgery 11: 764–768

    Google Scholar 

  3. Ebina K, Iwabuchi T, Suzuki S (1984) A clinico-experimental study on various wrapping materials of cerebral aneurysms. Acta Neurochir 72: 61–71

    Google Scholar 

  4. Edelsohn L, Caplan L, Rosenbaum AE (1970) Familial aneurysms and infundibular widening. Neurology 22: 1056–1060

    Google Scholar 

  5. Epstein F, Ransohoff J, Buzdilovich GN (1970) The clinical significance of junctional dilatation of the posterior communicating artery. J Neurosurg 33: 529–531

    Google Scholar 

  6. Hassler O, Saltzman GF (1959) Histologic changes in infundibular widening of the posterior communicating artery. Acta Pathol Microbiol Immunol Scand 46: 305–312

    Google Scholar 

  7. Hassler O, Saltzman GF (1963) Angiographic and histologic changes in infundibular widening of the posterior communicating artery. Acta Radiol 1: 321–327

    Google Scholar 

  8. Moritake K, Hazama F, Handa H, Ozaki T, Okumura A, Matsuda I (1976) Variation of the circle of Willis related to the pathogenesis of cerebral aneurysm. Neurol Med Chir 16: 427–435

    Google Scholar 

  9. Nishimatsu T, Toyoda O, Sasaki H (1979) Pathogenesis of IC-P com aneurysm. Neurol Med Chir (Suppl) 19: 90

    Google Scholar 

  10. Nukui H, Nagaya T, Miyagi O, Tamada J, Kaneko M, Sasaki H, Mitsuka S, Kawabuchi J, Kohno N, Kanoh T (1982) Development of new aneurysm and enlargement of small aneurysm. Neurol Med Chir 22: 437–445

    Google Scholar 

  11. Patrick D, Appleby A (1983) Infundibular widening of the posterior communicating artery progressing to true aneurysm. Br J Radiol 56: 59–60

    Google Scholar 

  12. Pool JL, Potts DG (1965) Aneurysms and arteriovenous anomalies of the brain: Diagnosis and treatment. Harper and Row, New York

    Google Scholar 

  13. Saltzman GF (1959) Infundibular widening of the posterior communicating artery studied by carotid angiography. Acta Radiol 51: 415–421

    Google Scholar 

  14. Stehbens WE (1963) Histopathology of cerebral aneurysms. Arch Neurol 8: 272–285

    Google Scholar 

  15. Stuntz JT, Ojemann GA, Alvord EC (1970) Radiographic and histologic demonstration of an aneurysm developing on the infundibulum of the posterior communicating artery. J Neurosurg 33: 591–595

    Google Scholar 

  16. Trasi S, Vincent LM, Zingesser LH (1981) Development of aneurysm from infundibulum of posterior communicating artery with documentation of prior hemorrhage. AJNR 2: 368–370

    Google Scholar 

  17. Taveras JM, Wood EH (1964) Diagnostic neuroradiology. Williams and Wilkins, Baltimore

    Google Scholar 

  18. Waga S, Morikawa A (1979) Aneurysm developing on the infundibular widening of the posterior communicating artery. Surg Neurol 11: 125–127

    Google Scholar 

  19. Watanabe M, In S, Kuramoto N (1975) Junctional dilatation of the posterior communicating artery. Neurol Surg (Tokyo) 3: 917–924

    Google Scholar 

  20. Yoshimoto T, Suzuki J (1974) Surgical treatment of an aneurysm on the funnel shaped bulge of the posterior communicating artery. J Neurosurg 41: 377–379

    Google Scholar 

  21. Young B, Meacham WF, Allen JH (1971) Documented enlargement and rupture of a small arterial sacculation

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Hirosaki University School of Medicine, Hirosaki, Japan

    K. Ebina, H. Ohkuma & T. Iwabuchi

Authors
  1. K. Ebina
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Ohkuma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Iwabuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ebina, K., Ohkuma, H. & Iwabuchi, T. An angiographic study of incidence and morphology of infundibular dilatation of the posterior communicating artery. Neuroradiology 28, 23–29 (1986). https://doi.org/10.1007/BF00341761

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00341761

Key words

Search

Navigation