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- W2011317528 abstract "Surgical treatment of the symptomatic carotid stenosis associated with ipsilateral intracranial aneurysm requires special strategic consideration. A 56-year-old housewife was admitted to a local hospital with a history of mild hypertension and recent episodes of recurrent transient ischemic attacks of the right cerebral hemisphere. Carotid angiography revealed bilateral stenosis of the carotid artery, 90% stenosis with ulcer on the right and 50% smooth surfaced stenosis on the left, middle cerebral trifurcation aneurysm on the right, internal carotid aneurysm in the left cavernous portion, and aplasia of the left anterior cerebral artery at its horizontal portion. She was referred for surgery. Neurological examination revealed a slightly disturbed mentality. During hospitalization she developed left hemiparesis and computerized tomography scan demonstrated right frontal watershed infarction. One month after the onset of cerebral infarction, operative treatment was attempted with special care to prevent lowering systolic blood pressure during procedure. The right middle cerebral artery aneurysm was first clipped, and right carotid endarterectomy was performed, while mannitol and barbiturate were administered without resort to internal shunt. Postoperatively the left hemiparesis improved gradually. Twenty-seven cases of the carotid stenosis associated with intracranial aneurysm(s) were collected from the literature and the strategic problems of these cases are discussed." @default.
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- W2011317528 date "1984-01-01" @default.
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- W2011317528 title "Surgical Treatment of the Symptomatic Carotid Stenosis associated with Unruptured Ipsilateral Intracranial Aneurysm" @default.
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- W2011317528 doi "https://doi.org/10.2176/nmc.24.815" @default.
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