Fenestration of the supraclinoid internal carotid artery with associated aneurysm
Fenestration of the supraclinoid internal carotid artery with associated aneurysm
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DOI：
10.2176/nmc.48.118
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发表时间：
2008-03-01
影响因子：
1.9
通讯作者：
Date, Isao
中科院分区：
文献类型：
--
作者：
Onoda, Keisuke;Ono, Shigeki;Date, Isao
一位42岁的女性，因颈内动脉床突上开窗而出现罕见的病例，并伴有动脉瘤，表现为头痛。计算机断层扫描（CT）未发现异常。三维CT血管造影显示左侧伊卡开窗伴相关动脉瘤。对动脉瘤进行了直接手术，患者的术后病程顺利。本例伊卡开窗术与动脉瘤相关，表明即使是该位置产生的未破裂的小动脉瘤，也应考虑手术治疗，因为破裂风险较高。
A 42-year-old woman presented with a rare case of fenestration of the supraclinoid internal carotid artery (ICA) with associated aneurysm manifesting as headache. Computed tomography (CT) found no abnormalities. Three-dimensional CT angiography showed fenestration of the left ICA with an associated aneurysm. Direct surgery was performed for the aneurysm, and the patient's postoperative course was uneventful. The present case of ICA fenestration associated with aneurysm indicates that surgical treatment should be considered for even small unruptured aneurysms arising from this location, because of the high risk of rupture.