Skip to main content
SpringerLink
Log in

Dorsal internal carotid artery aneurysm: classification, pathogenesis, and surgical considerations

  • Original Articles
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract

Despite the rarity of dorsal internal carotid artery (ICA) aneurysms they still offer surgical challenge to achieve a safe successful clipping due to their peculiar projection.

In the past 13 years, 24 cases of dorsal ICA aneurysm were operated upon in our hospitals. Three separate groups of such aneurysms could be identified: group 1; where the aneurysms were located most proximally at the carotid-ophthalmic region, group 3; in which the aneurysms were present most distally just proximal to the ICA bifurcation, and group 2; where the aneurysms were located inbetween. All cases in this surgical series will be reviewed stressing upon the classification, pathogenesis, and surgical tactics of such a rare type of aneurysm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Diraz A, S Kobayashi, H Okudera, F Nakagawa, T Tsuji, Y Toba: Suprachiasmal carotidophthalmic aneurysm. Neurol Med Chir (Tokyo) 32 952–956

  2. Ebina K, T Iwabuchi, S Suzuki: A clinico-experimental study on various wrapping materials of cerebral aneurysms. Acta Neurochir (Wien) 72 (1984) 61–71

    Google Scholar 

  3. Ferguson GG, CG Drake: Carotid-ophthalmic aneurysms: the surgical management of these cases presenting with compression of the optic nerves and chiasm alone. Clin Neurosurg 27 (1980) 263–308

    Google Scholar 

  4. Fisher CM, JP Kistler, JM Davis: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6 (1980) 1–9

    Google Scholar 

  5. Heros RC: Brain resection for exposure of deep extracerebral and paraventricular lesions. Technical note. Surg Neurol 34 (1990) 188–195

    Google Scholar 

  6. Hunt WE, EJ Kosnik: Timing and perioperative care in intracranial aneurysm surgery. Clin Neurosurg 21 (1974) 79–89

    Google Scholar 

  7. Nakagawa F, S Kobayashi, T Takemae, K Sugita: Aneurysms protruding from the dorsal wall of the internal carotid artery. J Neurosurg 65 (1988) 303–308

    Google Scholar 

  8. Shigeta H, K Kyoshima, F Nakagawa, S Kobayashi: Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management. Acta Neurochir (Wien) (in press)

  9. Sundt TM: Surgical technique for saccular and giant intracranial aneurysms. Williams and Wilkins Baltimore 1991

    Google Scholar 

  10. Yasargil MG: Internal carotid artery aneurysms. In: Yasargil MG (ed): Microneurosurgery Vol. 2, Georg Thieme Verlag, Stuttgart-New York, 1984

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, School of Medicine, Shinshu University, Matsumoto, Japan

    Ahmed Diraz, Kazuhiko Kyoshima & Shigeaki Kobayashi

Authors
  1. Ahmed Diraz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kazuhiko Kyoshima
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shigeaki Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Diraz, A., Kyoshima, K. & Kobayashi, S. Dorsal internal carotid artery aneurysm: classification, pathogenesis, and surgical considerations. Neurosurg. Rev. 16, 197–204 (1993). https://doi.org/10.1007/BF00304328

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00304328

Keywords

Search

Navigation