Presentation
CONCLUSION: The present case indicates that an intrasellar ICA aneurysm can be misdiagnosed as a macroadenoma and even present through pituitary apoplexy. [ncbi.nlm.nih.gov]
Entire Body System
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Coronary Atherosclerosis
Restenosis rates between 24% and 38% have been reported in studies using Jomed coronary stent grafts in cases of coronary atherosclerosis, which is not different from the restenosis rates of regular bare stent placement. [ajnr.org]
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Pallor
Owing to the carotid aneurysm, she developed an asymmetric vertical cup-to-disc ratio above 0.2, and marked inferotemporal neuronal rim loss and pallor of the residual rim were noted in the left disc. [ncbi.nlm.nih.gov]
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Episodic Pain
Our case was characterised by episodic pain in the distribution of the glossopharyngeal nerve, sometimes associated with syncope, and a dramatic response to phenytoin. [jnnp.bmj.com]
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Congestive Heart Failure
Recurrent epistaxis other than cavernous carotid aneurysm may be due to congestive heart failure, diabetes mellitus, hypertension, and a history of anemia. [omicsonline.org]
Cardiovascular
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Vascular Disease
Systemic examinations must be performed in patients with PSA in order to scrutinize associated anomalies or vascular disease. [ncbi.nlm.nih.gov]
Brill et al ( 4 ) hypothesized that childhood aneurysms can be linked to polycystic kidney disease, collagen vascular disease, subacute bacterial endocarditis, fibromuscular dysplasia, sclerosis, coarctation of the aorta, Marfan's syndrome, syphilis, [spandidos-publications.com]
diseases I73.0 Raynaud's syndrome Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
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Carotid Bruit
Examination may reveal neurological deficits, Horner's syndrome (half of cases), hemiparesis, carotid bruit. [patient.info]
Eyes
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Progressive Loss of Vision
The patient was a 68-year-old woman with progressive loss of vision in her left eye. After a diagnosis of left giant ICA aneurysm, she underwent successful trapping with high-flow bypass. No new neurologic deficits were observed after surgery. [ncbi.nlm.nih.gov]
Ears
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Pulsatile Tinnitus
The symptoms associated with lateral extension of the petrous aneurysm into the tympanic cavity include dizziness, hearing loss, vertigo and pulsatile tinnitus ( 13 ). [spandidos-publications.com]
tinnitus or lower cranial nerve dysfunction due to dissection-related mass effect. [neuroangio.org]
Neurologic
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Encephalopathy
The patient was therefore diagnosed with contrast-induced encephalopathy after coil embolization. [ncbi.nlm.nih.gov]
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Focal Seizure
Focal seizures: An unusual presentation of giant intracranial aneurysms: A report of four cases with comments on the natural history and treatment. Surg Neurol. 1985. 24: 533-40 [surgicalneurologyint.com]
Workup
When treating intrasellar masses with the slightest suspicion of a nonpituitary origin, further workup should be considered. [ncbi.nlm.nih.gov]
Serum
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Hyperprolactinemia
Sellar and parasellar masses blocking inhibitory hypothalamic dopaminergic tonus can produce hyperprolactinemia. [ncbi.nlm.nih.gov]
Treatment
RESULTS: In the literature, factors linked to poorer outcome were age, vascular risk factors, initial ONP severity and delay before treatment; better recovery was associated with surgical treatment. [ncbi.nlm.nih.gov]
Prognosis
BACKGROUND: Aneurysms at the posterior face of the internal carotid artery can lead to oculomotor nerve palsy (ONP) with an uncertain prognosis of recovery post-treatment. [ncbi.nlm.nih.gov]
Clinical course and prognosis of temporal lobe epilepsy survey of 666 patients. Brain. 1971. 94: 173-90 4. Kuba R, Krupa P, Okacova L, Rektor I. [surgicalneurologyint.com]
Goldenberg-CohenN, CurryC, MillerNR, TamargoRJ, Murphy KPJ (2004) Long term visual and neurological prognosis in patients with treated and untreated cavernous sinus aneurysms.JNeurolNeurosurg Psychiatry 75:863-867 Higashida RT, Halbach VV, Dowd C, Barnwell [omicsonline.org]
Older patients and those with poorer Hunt and Hess grades on admission have a poor prognosis. [en.wikipedia.org]
Etiology
This is the first case that describes mutual contribution of cystic medial degeneration and ICA kinking in carotid aneurysm disease etiology successfully treated by aneurysm resection. [ncbi.nlm.nih.gov]
Conclusion: Epistaxis related to internal carotid artery aneurysm is quite rare but it is important to consider aneurysms in the etiology of epistaxis. Which may be fatal if the cause of nasal bleeding cannot be identified. [omicsonline.org]
Introduction Extracranial internal carotid artery aneurysms are rare, and according to their etiology they can be classified into atherosclerotic, dysplastic, inflammatory, infective or posttraumatic [ 1 ]. [panafrican-med-journal.com]
Epidemiology
"Epidemiology and genetics of intracranial aneurysms". European Journal of Radiology. 82 (10): 1598–605. doi : 10.1016/j.ejrad.2012.12.026. PMID 23399038. [en.wikipedia.org]
Etiology and Epidemiology Most common etiological factor for AEICA is atherosclerosis with an incidence of 34 to 70% in different series. [ispub.com]
Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM (2010) Pathophysiology and epidemiology of abdominal aortic aneurysms. Nat Rev Cardiol 8: 92–102. pmid:21079638 View Article PubMed/NCBI Google Scholar 17. [journals.plos.org]
Pathophysiology
In contrast, the pathophysiological mechanisms and natural course of ECAA are largely unknown. Understanding the pathophysiological background may add to prediction of risk for adverse outcome and need for surgical exclusion. [journals.plos.org]
We examined the pathophysiology underlying the development of olfactory hallucinations. We found craniotomy clipping and focal resection to be useful from the standpoint of seizure control. [surgicalneurologyint.com]
This is the pathophysiologic side of argument against a separate Lacerum segment. 3D-DSA of petrous segment aneurysm, confined below the PLL. [neuroangio.org]
These include 1p34-36, 2p14-15, 7q11, 11q25, and 19q13.1-13.3. [11] Pathophysiology [ edit ] Aneurysm means an outpouching of a blood vessel wall that is filled with blood. Aneurysms occur at a point of weakness in the vessel wall. [en.wikipedia.org]
Prevention
Coil embolization of the aneurysm and parent artery occlusion for the posttraumatic direct CCF was a good option to manage the abducens nerve palsy and to prevent postoperative hyperperfusion. [ncbi.nlm.nih.gov]
Although stent-assisted coil embolization alone is an effective approach for treating BBAs, it is insufficient to prevent BBA regrowth. In contrast, stent-within-a-stent and covered stenting are effective at preventing rebleeding and BBA regrowth. [medsci.org]