Skip to main content
Log in

Basilar bifurcation aneurysm associated with bilateral internal carotid occlusion

  • Case Reports
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

A case of subarachnoid hemorrhage from ruptured aneurysm of the basilar bifurcation associated with occlusions of both internal carotid arteries at the neck is presented. Each internal carotid artery mainly received collateral flow at the cavernous portion from the internal maxillary artery through anastomotic artery of the foramen rotundum. Posterior circulation also supplied collateral blood flow via the right posterior communicating artery. This case report suggests that hemodynamic stress may be regarded as an important factor in the formation or development of cerebral aneurysm.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bremer JL (1943) Congenital aneurysms of the cerebral arteries. An embryologic study. Arch Pathol 35: 819–831

    Google Scholar 

  2. Smith RR (1982) Pathophysiology and clinical evaluation of subarachnoid hemorrhage. In: Youmans JR (ed) Neurological surgery, vol 3, WB Saunders, Philadelphia London Tronto Mexico City Sydney Tokyo, pp 1627–1644

    Google Scholar 

  3. Torvik A, Jörgensen L (1964) Thrombotic and embolic occlusions of the carotid arteries in an autopsy material. J Neurol Sci 1: 24–39

    Google Scholar 

  4. Jaffe ME, McHenry LC (1968) Cerebral aneurysm following spontaneous carotid occlusion. Neurology 18: 1012–1014

    Google Scholar 

  5. Portnoy HD, Avellanosa A (1970) Carotid aneurysm contralateral carotid stenosis successful surgical treatment of both lesions. J Neurosurg 32: 476–482

    Google Scholar 

  6. Shoumaker RD, Avant WS, Cohen MGH (1976) Coincidental multiple asymptomatic intracranial aneurysms and symptomatic carotid stenosis. Stroke 7: 504–506

    Google Scholar 

  7. Sayama I, Itoh Z, Nakajima K, Ohta H, Suzuki A, Kobayashi T (1979) Two cases with multiple aneurysms accompanied by unilateral internal carotid occlusion. No Shinkei Geka 7: 797–804

    Google Scholar 

  8. Stern I, Whelan M, Brisman R, Correll JW (1979) Management of extracranial carotid stenosis and intracranial aneurysms. J Neurosurg 51: 147–150

    Google Scholar 

  9. Zulkifli A (1979) Bilateral internal carotid artery occlusions. A cause of transient ischemic attack. Med J Malaysia 34: 52–54

    Google Scholar 

  10. Kataoka K, Taneda M (1982) Cerebral aneurysm with bilateral carotid occlusion. Neurol Med Chir (Tokyo) 22: 744–750

    Google Scholar 

  11. Tasker RR (1983) Ruptured berry aneurysm of the anterior ethmoidal artery associated with bilateral spontaneous internal carotid occlusion in the neck. J Neurosurg 59: 687–691

    Google Scholar 

  12. Parkinson D (1964) Collateral circulation of cavernous carotid artery. Anatomy. Can J Surg 7: 251–268

    Google Scholar 

  13. Parkinson D (1965) A surgical approach to the cavernous portion of the carotid artery. J Neurosurg 23: 474–483

    Google Scholar 

  14. Pearson BW, MacKenzie RG, Goodman WS (1969) The anatomical basis of transantral ligation of the maxillary artery in severe epistaxis. Laryngoscope 79: 969–984

    Google Scholar 

  15. Lehrer H (1970) Angiographic visualization of the posterior pituitary and clinical stress. Radiology 94: 7–18

    Google Scholar 

  16. Djindjian R, Merland JJ (1978) Super-selective arteriography of the external carotid artery. Springer, Berlin Heidelberg New York

    Google Scholar 

  17. Nishimura S, Shima T, Okada Y, Ishikawa S, Uozumi T, Nishida M (1979) Agenesis of the unilateral internal carotid artery, presenting subarachnoid hemorrhage. No To Shinkei 31: 137–145

    Google Scholar 

  18. Amacher AL, Drake CG, Ferguson GG (1981) Posterior circulation aneurysms in young people. Neurosurgery 8: 315–320

    Google Scholar 

  19. Stehbens WE (1963) Histopathology of cerebral aneurysms. Arch Neurol 8: 272–285

    Google Scholar 

  20. Yokota A, Kodama T, Matsukado Y (1977) Cerebral aneurysms associated with coarctation of the aorta. No To Shinkei 29: 221–226

    Google Scholar 

  21. Tsuha M, Wakuta Y, Okamura T, Abiko S, Aoki H (1984) Two cases of cerebral aneurysms combined with polycystic kidneys. No Shinkei Geka 12: 1433–1438

    Google Scholar 

  22. Kodama N, Suzuki J (1978) Moyamoya kisease associated with aneurysm. J Neurosurg 48: 565–569

    Google Scholar 

  23. Nagamine Y, Sonobe M, Takahashi S (1980) Multiple aneurysms associated with moyamoya disease. No Shinkei Geka 8: 275–282

    Google Scholar 

  24. Kirgis HD, Fisher WL, Llewellyn RC, Peebles EMcC (1966) Aneurysm of the anterior communicating artery and gross anomalies of the circle of Willis. J Neurosurg 25: 73–78

    Google Scholar 

  25. Roski RA, Spetzler RF, Nulsen FE (1981) Late complications of carotid ligation in the treatment of intracranial aneurysms. J Neurosurg 54: 583–587

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yamanaka, C., Hirohata, T., Kiya, K. et al. Basilar bifurcation aneurysm associated with bilateral internal carotid occlusion. Neuroradiology 29, 84–88 (1987). https://doi.org/10.1007/BF00341047

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00341047

Key words

Navigation