J.Jpn. Surg. Soc.. 86(6): 770-775, 1985
Original article
SUCCESSFUL SURGICAL MANAGEMENT OF EXTRACRANIAL HIGH INTERAL CAROTID ANEURYSM. A CASE REPORT
|
*) Second Department of Surgery, University of Tokyo Faculty of Medicine, Tokyo, Japan Akira Ohshima*), Shigeo Akimoto*), Tatsuya Kozuma*), Kiyoshi Tanaka*), Atsuhiko Takagi*), Yusuke Tada*), Yasuo Idezuki*) |
A day prior to admission, dysarthria and left hemiparesis occurred with sudden onset.
These ischemic attacks spontaneously remitted within 48 hours. A carotid arteriogram showed a saccular aneurysm located high in the right internal carotid artery. Four days after admission, aneurys-mectomy with end-to-end anatomosis was carried out with the temporary internal shunt under the induced hypertension.
There was no sign of ischemic brain damage after the operation.
But she suffered from dysphagia due to the NO. 9, 10, and 12 cerebral nerve palsies, which took 5 months to recover completely.
Despite several difficulties in the operation for a highly located internal carotid aneurysm, we emphasize in this report the nessecity of aneurysmectomy and the establishment of vascular continuity with the aid of internal shunt to prevent the ischemic brain damage.
To read the PDF file you will need Adobe Reader installed on your computer.