• J Clin Neurosci · Dec 2018

    Case Reports

    Pathogenesis of dorsal internal carotid artery wall aneurysms based on histopathologic examination and microscopic configuration.

    • Si Un Lee, Yoonjin Kwak, Chang Wan Oh, O-Ki Kwon, Seung Pil Ban, Tackeun Kim, Hyoung Soo Byoun, Gheeyoung Choe, Young Deok Kim, and Jae Seung Bang.
    • Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Republic of Korea.
    • J Clin Neurosci. 2018 Dec 1; 58: 181-186.

    AbstractBlood blister-like aneurysms (BBAs) are an important cause of subarachnoid hemorrhage (SAH), but proper treatment is uncertain due to the poor prognosis of these aneurysms. The pathogenesis of BBAs remains unclear and few studies have reported on histological examinations of BBAs because it is difficult to obtain a specimen due to a high risk of intraoperative bleeding. In this report, BBAs were histopathologically examined in two patients who presented with SAH due to rupture of a BBA that was treated with surgical trapping and bypass surgery. BBA specimens including the adjacent internal carotid artery (ICA) walls were obtained intraoperatively. We suggest the pathogenesis of BBAs based on histopathologic examination and microscopic configuration.Copyright © 2018 Elsevier Ltd. All rights reserved.

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