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  • Title: [A case of infundibular dilatation developed into an aneurysm and rupturing after the rupture of an aneurysm 10 years ago].
    Author: Takahashi C, Fukuda O, Hori E, Kameda H, Endo S.
    Journal: No Shinkei Geka; 2006 Jun; 34(6):613-7. PubMed ID: 16768138.
    Abstract:
    A 44-year-old female with subarachnoid hemorrhage caused by the left internal carotid-posterior communicating artery aneurysm rupture was presented. At that time, carotid angiography showed the left internal carotid-posterior communicating artery aneurysm and the right internal carotid-posterior communicating artery portion infundibular dilatation. Neck clipping for left internal carotid-posterior communicating artery aneurysm was done and she was discharged from our hospital without neurological deficit. After 10 years, she suffered a second subarachnoid hemorrhage. Carotid angiography demonstrated the right internal carotid-posterior communicating artery aneurysm developed from the opposite infundibular dilatation. Emergency clipping was performed with three Sugita fenestration clips, because that aneurysm had a very wide neck. We should examine the internal carotid-posterior communicating artery infundibular dilatation with opposite side aneurysms in young females carefully and serially.
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