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Subarachnoid Hemorrhage Caused by a Dissecting Aneurysm of the Internal Carotid Artery : Case Report and Review of the Literature Toshiyuki SUGINO 1 , Shun-ichi FUKUDA 1 , Kazuo YAMAMOTO 1 , Minoru KIDOOKA 1 , Shin-ichi OTSUKA 1 1Department of Neurosurgery,Otsu Red Cross Hospital Keyword: dissecting aneurysm , internal carotid artery , subarachnoid hemorrhage pp.791-795
Published Date 2005/8/1
DOI https://doi.org/10.11477/mf.1436100109
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A case of subarachnoid hemorrhage (SAH) resulting from a ruptured intracranial dissecting aneurysm of the internal carotid artery (ICA) is reported. A 58-year-old woman presented with headache and vomiting. A CT showed diffuse SAH. A cerebral angiography demonstrated a dissecting aneurysm at the C2 segment of the right ICA. In the present case,trapping with STA-MCA anastomosis was performed and the postoperative course was uneventful. Postoperative follow-up cerebral angiogram detected no aneurysm. SAH caused by the rupture of a dissecting aneurysm of the ICA has been considered rare. To our knowledge,there have been only 29 cases. We discuss the clinical characteristics with a review of the literature.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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