Abstract:
OBJECTIVE AND IMPORTANCE:Origination of the temporopolar artery (TPA) from the supraclinoid internal carotid artery (ICA) represents a rare anatomic variation, and the presence of aneurysms at this uncommon site has never before been reported. CLINICAL PRESENTATION:Two patients presented with a sudden onset of headaches and meningism. Computed tomography demonstrated diffuse subarachnoid hemorrhage in both cases. Cerebral angiography revealed ruptured aneurysms originating at a TPA origin from the ICA. INTERVENTION:The patients were surgically treated, and the aneurysms were successfully clipped. For technical reasons, the TPA was sacrificed in both cases. CONCLUSION:These are the first reported cases of aneurysms originating at the TPA origin from the ICA. Awareness of the existence of this variation is necessary, particularly for the management of superior wall aneurysms of the ICA.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Alkadhi H,Schuknecht B,Imhof HG,Yonekawa Ykeywords:
subject
Has Abstractpub_date
2003-05-01 00:00:00pages
1221-4; discussion 1224-5issue
5eissn
0148-396Xissn
1524-4040journal_volume
52pub_type
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