Surgical treatment of transitional internal carotid aneurysms

Takashi Ohmoto, Nobuyoshi Yabuno, Isao Date

Research output: Contribution to journalArticle

Abstract

Ten transitional internal carotid aneurysms are presented. Necks and domes of these aneurysms were located in both the intradural subarachnoid and extradural intracavernous spaces across the carotid durai ring. Seven aneurysms were small, 2 were large, and 1 was giant. Two patients had subarachnoid haemorrhage (SAH), 2 compressive symptoms, 5 SAH from rupture of associated lesions (aneurysms or AVM) and 1 case was an incidental finding. Direct clipping was performed successfully in all patients. The overall surgical outcome was excellent in all patients, with transient complications in 4 cases. It is suggested these aneurysms should be treated with direct clipping whether ruptured or not because of the risk of SAH. A classification of paraclinoidal region aneurysms including cavernous sinus aneurysms extending into the intradural subarachnoid space is proposed.

Original languageEnglish
Pages (from-to)373-377
Number of pages5
JournalJournal of Clinical Neuroscience
Volume4
Issue number3
Publication statusPublished - 1997

Fingerprint

Aneurysm
Subarachnoid Hemorrhage
Therapeutics
Cavernous Sinus
Subarachnoid Space
Incidental Findings
Rupture
Neck

Keywords

  • Cavernous sinus
  • Cavernous sinus aneurysm
  • Direct clipping
  • Paraclinoid aneurysm
  • Subarachnoid haemorrhage
  • Transitional internal carotid aneurysms

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neurology

Cite this

Surgical treatment of transitional internal carotid aneurysms. / Ohmoto, Takashi; Yabuno, Nobuyoshi; Date, Isao.

In: Journal of Clinical Neuroscience, Vol. 4, No. 3, 1997, p. 373-377.

Research output: Contribution to journalArticle

Ohmoto, Takashi ; Yabuno, Nobuyoshi ; Date, Isao. / Surgical treatment of transitional internal carotid aneurysms. In: Journal of Clinical Neuroscience. 1997 ; Vol. 4, No. 3. pp. 373-377.
@article{1405330987d7470cb87fece0707ec035,
title = "Surgical treatment of transitional internal carotid aneurysms",
abstract = "Ten transitional internal carotid aneurysms are presented. Necks and domes of these aneurysms were located in both the intradural subarachnoid and extradural intracavernous spaces across the carotid durai ring. Seven aneurysms were small, 2 were large, and 1 was giant. Two patients had subarachnoid haemorrhage (SAH), 2 compressive symptoms, 5 SAH from rupture of associated lesions (aneurysms or AVM) and 1 case was an incidental finding. Direct clipping was performed successfully in all patients. The overall surgical outcome was excellent in all patients, with transient complications in 4 cases. It is suggested these aneurysms should be treated with direct clipping whether ruptured or not because of the risk of SAH. A classification of paraclinoidal region aneurysms including cavernous sinus aneurysms extending into the intradural subarachnoid space is proposed.",
keywords = "Cavernous sinus, Cavernous sinus aneurysm, Direct clipping, Paraclinoid aneurysm, Subarachnoid haemorrhage, Transitional internal carotid aneurysms",
author = "Takashi Ohmoto and Nobuyoshi Yabuno and Isao Date",
year = "1997",
language = "English",
volume = "4",
pages = "373--377",
journal = "Journal of Clinical Neuroscience",
issn = "0967-5868",
publisher = "Churchill Livingstone",
number = "3",

}

TY - JOUR

T1 - Surgical treatment of transitional internal carotid aneurysms

AU - Ohmoto, Takashi

AU - Yabuno, Nobuyoshi

AU - Date, Isao

PY - 1997

Y1 - 1997

N2 - Ten transitional internal carotid aneurysms are presented. Necks and domes of these aneurysms were located in both the intradural subarachnoid and extradural intracavernous spaces across the carotid durai ring. Seven aneurysms were small, 2 were large, and 1 was giant. Two patients had subarachnoid haemorrhage (SAH), 2 compressive symptoms, 5 SAH from rupture of associated lesions (aneurysms or AVM) and 1 case was an incidental finding. Direct clipping was performed successfully in all patients. The overall surgical outcome was excellent in all patients, with transient complications in 4 cases. It is suggested these aneurysms should be treated with direct clipping whether ruptured or not because of the risk of SAH. A classification of paraclinoidal region aneurysms including cavernous sinus aneurysms extending into the intradural subarachnoid space is proposed.

AB - Ten transitional internal carotid aneurysms are presented. Necks and domes of these aneurysms were located in both the intradural subarachnoid and extradural intracavernous spaces across the carotid durai ring. Seven aneurysms were small, 2 were large, and 1 was giant. Two patients had subarachnoid haemorrhage (SAH), 2 compressive symptoms, 5 SAH from rupture of associated lesions (aneurysms or AVM) and 1 case was an incidental finding. Direct clipping was performed successfully in all patients. The overall surgical outcome was excellent in all patients, with transient complications in 4 cases. It is suggested these aneurysms should be treated with direct clipping whether ruptured or not because of the risk of SAH. A classification of paraclinoidal region aneurysms including cavernous sinus aneurysms extending into the intradural subarachnoid space is proposed.

KW - Cavernous sinus

KW - Cavernous sinus aneurysm

KW - Direct clipping

KW - Paraclinoid aneurysm

KW - Subarachnoid haemorrhage

KW - Transitional internal carotid aneurysms

UR - http://www.scopus.com/inward/record.url?scp=10644222117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=10644222117&partnerID=8YFLogxK

M3 - Article

VL - 4

SP - 373

EP - 377

JO - Journal of Clinical Neuroscience

JF - Journal of Clinical Neuroscience

SN - 0967-5868

IS - 3

ER -