Rice J P
Clin Exp Neurol. 1981;17:93-105.
Spontaneous dissecting aneurysm of the cervical internal carotid artery is a rare condition. Three cases are described, all in the younger age group, and the clinical features and characteristic radiological findings are discussed. One case demonstrated concomitant unruptured saccular intracranial aneurysms, an even more uncommon association, and the implications of this association for the pathogenesis of the dissecting aneurysm are considered. Attention is also drawn to the fact that marked clinical and angiographic improvement may occur spontaneously, indicating that conservative management should be considered as well as surgical treatment.
颈内动脉自发性夹层动脉瘤是一种罕见疾病。本文描述了3例病例，均为年轻患者，并对其临床特征和典型影像学表现进行了讨论。其中1例伴有未破裂的囊状颅内动脉瘤，这种关联更为罕见，本文还探讨了这种关联对夹层动脉瘤发病机制的影响。同时还提请注意，临床和血管造影可能会自发出现明显改善，这表明除手术治疗外，也应考虑保守治疗。
