Baskaya M K, Yuceer N, Egemen N
Department of Surgery, University of Kentucky Medical Center, Lexington, USA.
Neurol Res. 1996 Apr;18(2):135-9. doi: 10.1080/01616412.1996.11740391.
A patient presented with left hemiparesis and facial palsy developed 20 days after a traffic accident. A computerized tomography (CT) scan revealed right suprasellar mass lesion. A repeated CT scan revealed a growing mass. Carotid angiogram demonstrated a giant aneurysm of the supraclinoid internal carotid artery (ICA) with no distal filling. Formation of the aneurysm was thought to be due to an overstretching or torsion of the artery or tearing of the ICA by nearby prominent bony structure since no basal skull fracture was detected in the plain skull film or CT scans. The aneurysm was treated by intracranial trapping of the ICA. We present this patient's findings and review previously reported cases in the literature.
一名患者在交通事故后20天出现左侧偏瘫和面瘫。计算机断层扫描（CT）显示鞍上右侧有占位性病变。重复CT扫描显示肿块在增大。颈动脉血管造影显示床突上段颈内动脉（ICA）有巨大动脉瘤，无远端充盈。由于在颅骨平片或CT扫描中未发现颅底骨折，动脉瘤的形成被认为是由于动脉过度伸展或扭转，或附近突出的骨质结构撕裂ICA所致。该动脉瘤通过颅内ICA夹闭术进行治疗。我们展示该患者的检查结果并回顾文献中先前报道的病例。
