A case of a large intracranial aneurysm is presented in which the dome distended dorsally to the internal carotid artery (ICA) but the neck was adjacent to the origin of the posterior communicating artery (PcomA). This case illustrates that aneurysms located on the dorsal ICA wall at the level of the PcomA include not only types occurring without relation to arterial divisions, as previously reported, but also rarer types growing from the PcomA junction.
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References
1.
Yasargil MG: Internal carotid artery aneurysms. In: Microneurosurgery, vol. 2. Stuttgart/ New York: George Thieme Verlag, 1984, pp 33-123.
2.
Nakagawa F., Kobayashi S., Takemae T., et al: Aneurysms protruding from the dorsal wall of the internal carotid artery. J Neurosurg65:303-308, 1986.
Diaz A., Kobayashi S., Gibo H., et al: Large dorsal internal carotid artery aneurysm: Report of two cases. Neurol Med Chir (Tokyo) 33:564-567, 1993.
5.
Yasargil MG: Giant intracranial aneurysms. In: Microneurosurgery, vol. 2. Stuttgart/ New York: George Thieme Verlag, 1984, pp 296-304.
6.
Sekhar LN, Heros RC: Origin, growth and rupture of saccular aneurysms: A review. Neurosurgery8:248-260, 1981.
7.
Artmann H., Vonofakos D, Müller, et al: Neuroradiologic and neuropathologic findings with growing giant intracranial aneurysm: Review of the literature. Surg Neurol21:391-401, 1984.
