R W Porter1, M T Lawton, M G Hamilton, R F Spetzler. 1. Barrow Neurological Institute, Division of Neurological Surgery, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA.
Abstract
BACKGROUND: The simultaneous presentation of aneurysmal subarachnoid hemorrhage and thrombosis of a high-grade internal carotid artery stenosis is rare, and their management raises several treatment dilemmas. METHODS: Two such patients with ruptured aneurysms are presented: one with high-grade internal carotid artery stenosis that progressed to occlusion and one with acute internal carotid artery occlusion. RESULTS: Both patients were treated with craniotomy for clipping of the ruptured aneurysm followed by carotid thromboendarterectomy. CONCLUSIONS: We advocate urgent surgical treatment of both lesions, dealing with the most symptomatic lesion first. These two cases demonstrate the importance of reestablishing blood flow in patients with an acutely thrombosed carotid artery.
BACKGROUND: The simultaneous presentation of aneurysmal subarachnoid hemorrhage and thrombosis of a high-grade internal carotid artery stenosis is rare, and their management raises several treatment dilemmas. METHODS: Two such patients with ruptured aneurysms are presented: one with high-grade internal carotid artery stenosis that progressed to occlusion and one with acute internal carotid artery occlusion. RESULTS: Both patients were treated with craniotomy for clipping of the ruptured aneurysm followed by carotid thromboendarterectomy. CONCLUSIONS: We advocate urgent surgical treatment of both lesions, dealing with the most symptomatic lesion first. These two cases demonstrate the importance of reestablishing blood flow in patients with an acutely thrombosed carotid artery.
Authors: E Castro; F Villoria; F Fortea; J Carrera; O Mateo; S Sanchez-Alarcos; L Reparaz Journal: Interv Neuroradiol Date: 2004-10-22 Impact factor: 1.610
Authors: Aamir Badruddin; Mohamed S Teleb; Michael G Abraham; Muhammad A Taqi; Osama O Zaidat Journal: Front Neurol Date: 2010-10-12 Impact factor: 4.003