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Suprasellar displacement of intracavernous internal carotid artery: case report.

Publication ,  Journal Article
Gottfried, ON; Soleau, SW; Couldwell, WT
Published in: Neurosurgery
December 2003

OBJECTIVE AND IMPORTANCE: We present a previously undescribed variant of the cavernous internal carotid artery (ICA) and review the literature concerning other variants of the cavernous ICA. CLINICAL PRESENTATION: The patient, a 53-year-old woman with fibromuscular dysplasia and multiple intracranial aneurysms, underwent cerebral angiography in preparation for clipping of a terminal ICA bifurcation aneurysm that demonstrated a redundant loop of the cavernous ICA abutting the supraclinoid carotid artery. INTERVENTION: The patient underwent a pterional craniotomy to approach a terminal ICA bifurcation aneurysm. During the procedure, an unexpected vascular anomaly was discovered. On further dissection, we confirmed that the vascular abnormality was a segment of the ICA that had herniated through the superomedial cavernous sinus wall. CONCLUSION: This case demonstrates that the cavernous ICA may become dehiscent from the cavernous sinus wall and herniate into the suprasellar space. Knowledge and anticipation of anatomic variants of the cavernous carotid artery are essential to avoid inadvertent vascular injury during surgery.

Duke Scholars

Published In

Neurosurgery

DOI

ISSN

0148-396X

Publication Date

December 2003

Volume

53

Issue

6

Start / End Page

1433 / 1434

Location

United States

Related Subject Headings

  • Radiography
  • Neurology & Neurosurgery
  • Middle Aged
  • Humans
  • Female
  • Cavernous Sinus
  • Carotid Artery, Internal
  • 5202 Biological psychology
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gottfried, O. N., Soleau, S. W., & Couldwell, W. T. (2003). Suprasellar displacement of intracavernous internal carotid artery: case report. Neurosurgery, 53(6), 1433–1434. https://doi.org/10.1227/01.neu.0000093829.42205.17
Gottfried, Oren N., Scott W. Soleau, and William T. Couldwell. “Suprasellar displacement of intracavernous internal carotid artery: case report.Neurosurgery 53, no. 6 (December 2003): 1433–34. https://doi.org/10.1227/01.neu.0000093829.42205.17.
Gottfried ON, Soleau SW, Couldwell WT. Suprasellar displacement of intracavernous internal carotid artery: case report. Neurosurgery. 2003 Dec;53(6):1433–4.
Gottfried, Oren N., et al. “Suprasellar displacement of intracavernous internal carotid artery: case report.Neurosurgery, vol. 53, no. 6, Dec. 2003, pp. 1433–34. Pubmed, doi:10.1227/01.neu.0000093829.42205.17.
Gottfried ON, Soleau SW, Couldwell WT. Suprasellar displacement of intracavernous internal carotid artery: case report. Neurosurgery. 2003 Dec;53(6):1433–1434.
Journal cover image

Published In

Neurosurgery

DOI

ISSN

0148-396X

Publication Date

December 2003

Volume

53

Issue

6

Start / End Page

1433 / 1434

Location

United States

Related Subject Headings

  • Radiography
  • Neurology & Neurosurgery
  • Middle Aged
  • Humans
  • Female
  • Cavernous Sinus
  • Carotid Artery, Internal
  • 5202 Biological psychology
  • 3209 Neurosciences
  • 3202 Clinical sciences