Internal Carotid Artery Dorsal Wall Aneurysm: A Rare Neurosurgical Entity (original) (raw)
2014, Neuroscience Publishing Group
Saccular aneurysms arising from the dorsal wall of the internal carotid artery are extremely rare. It is still a surgical challenge to achieve safe and successful clipping due to their unusual projection and fragile nature. A 32 years old gentleman presented with severe headache and high blood pressure. CT head showed SAH in basal cistern. CT angiogram demonstrated left dorsal ICA aneurysm rupture. The aneurysm was successfully clipped parallel to ICA without intraoperative and postoperative rupture. Postoperatively, he has no neurological deficits and leading his normal life. Key Words: clipping, dorsal ICA aneurysm, pterional approach, subarachnoid hemorrhage
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