Blister-like aneurysm of the supraclinoid internal carotid artery (ICA) is a well-documented cause of subarachnoid hemorrhage. Generally, this type of aneurysm is associated with various conditions such as hypertension, arteriosclerosis, and ICA dissection.
Aneurysms involving the cavernous segment of the internal carotid artery may produce cranial nerve dysfunction by compression, and occasionally rupture or ischemic events 1,2. The management of symptomatic cavernous aneurysms has evolved over a long period of time.
Internal carotid artery aneurysm, at the origin of either the posterior communicating or the anterior choroidal arteries, can rupture into the temporal horn of the lateral ventricles.
Supraclinoid internal carotid artery (ICA) aneurysms most commonly arise at the origin of the posterior communicating or anterior choroidal artery. The unique angioarchitecture presented in this case involved the anterior choroidal artery (AChA) originating from the dome of a supraclinoid ICA aneurysm.
This aneurysm being rare but is important because it is associated with a high risk of neurological thromboembolic events, cranial nerve compression, and rupture. The causes of the EICA are congenital, trauma leading to the pseudoaneurysm, atherosclerosis, infections, and fibromuscular dysplasia.
Aneurysms of the cavernous ICA are benign lesions with a negligible risk of rupture, but definite risk of growth. Aneurysm size was found to be associated with cavernous ICA aneurysm growth, which can lead to the onset or worsening of mass-effect symptoms.
The internal carotid artery (Latin: arteria carotis interna) is an artery in the neck which supplies the anterior circulation of the brain. In human anatomy, the internal and external carotids arise from the common carotid arteries, where these bifurcate at cervical vertebrae C3 or C4.
ICA - internal carotid artery.
The terminal ICA (C7 segment) begins just proximal to the origin of the posterior communicating artery. The ICA gives off this artery posteriorly as well as the anterior choroidal artery before abruptly dividing into the middle and anterior cerebral branches.
The 2022 edition of ICD-10-CM I72.5 became effective on October 1, 2021.
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( I72.5) and the excluded code together.
The 2022 edition of ICD-10-CM I25.3 became effective on October 1, 2021.
Blood-filled aneurysms are dangerous because they may burst. Fibrous aneurysms interfere with the heart function through the loss of contractility. True aneurysm is bound by the vessel wall or cardiac wall. False aneurysms are hematoma caused by myocardial rupture.
Aneurysmal dilatation of a portion of the wall of the ventricle, usually the left, or, rarely, a saccular protrusion through it (false aneurysm of the heart); usually consequent to myocardial infarction but other causes such as bacterial endocarditis or trauma have been described.