We have located links that may give you full text access.
Coiling ruptured aneurysms arising from the posterior genu of the cavernous internal carotid artery: A report of two cases.
International Journal of Surgery Case Reports 2024 March 6
INTRODUCTION AND IMPORTANCE: Exceptionally, aneurysms from the posterior genu of the cavernous internal carotid artery (ICA) can rupture, resulting in subarachnoid hemorrhage (SAH). We reported such a case and provided another case with an unruptured aneurysm as a control to confirm the rarity of the ruptured aneurysm from the posterior genu of the cavernous ICA.
CASE PRESENTATION: Case 1: This was a 46-year-old female with SAH. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) confirmed that an aneurysm from the posterior genu of the right cavernous ICA had expanded into the intradural space and ruptured; the aneurysm was coiled completely. Postoperatively, she died from cerebral ischemia due to vasospasm. Case 2: This was a 59-year-old female with SAH. CTA and DSA revealed six aneurysms, including two mirror-like aneurysms from the bilateral anterior communicating artery (AcomA), two tandem aneurysms from the posterior genu of the left cavernous ICA, and two aneurysms from the bilateral anterior cavernous ICAs. After coiling the two tandem aneurysms from the posterior genu of the left cavernous ICA, the bilateral AcomA aneurysms were clipped, and rupture of the right AcomA aneurysm was confirmed. Follow-up CTA showed complete clipping of the bilateral AcomA aneurysms. Her Glasgow Outcome Scale score was 5. Endovascular treatment for residual aneurysms is planned for the future.
CLINICAL DISCUSSION: As shown in these two cases, the aneurysm from the posterior genu of the cavernous ICA can rupture, resulting in SAH; however, the rupture of other aneurysms must be excluded.
CONCLUSION: Once a ruptured aneurysm from the posterior genu of the cavernous ICA was confirmed, EVT was considered an alternative treatment.
CASE PRESENTATION: Case 1: This was a 46-year-old female with SAH. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) confirmed that an aneurysm from the posterior genu of the right cavernous ICA had expanded into the intradural space and ruptured; the aneurysm was coiled completely. Postoperatively, she died from cerebral ischemia due to vasospasm. Case 2: This was a 59-year-old female with SAH. CTA and DSA revealed six aneurysms, including two mirror-like aneurysms from the bilateral anterior communicating artery (AcomA), two tandem aneurysms from the posterior genu of the left cavernous ICA, and two aneurysms from the bilateral anterior cavernous ICAs. After coiling the two tandem aneurysms from the posterior genu of the left cavernous ICA, the bilateral AcomA aneurysms were clipped, and rupture of the right AcomA aneurysm was confirmed. Follow-up CTA showed complete clipping of the bilateral AcomA aneurysms. Her Glasgow Outcome Scale score was 5. Endovascular treatment for residual aneurysms is planned for the future.
CLINICAL DISCUSSION: As shown in these two cases, the aneurysm from the posterior genu of the cavernous ICA can rupture, resulting in SAH; however, the rupture of other aneurysms must be excluded.
CONCLUSION: Once a ruptured aneurysm from the posterior genu of the cavernous ICA was confirmed, EVT was considered an alternative treatment.
Full text links
Related Resources
Trending Papers
Renin-Angiotensin-Aldosterone System: From History to Practice of a Secular Topic.International Journal of Molecular Sciences 2024 April 5
Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities.Diabetologia 2024 April 17
British Society for Rheumatology guideline on management of adult and juvenile onset Sjögren disease.Rheumatology 2024 April 17
Albumin: a comprehensive review and practical guideline for clinical use.European Journal of Clinical Pharmacology 2024 April 13
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app