Prediction of aneurysm rupture site by an angiographically identified bleb at the aneurysm neck

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Address reprint requests to: Robert M. Friedlander, M.D., Department of Neurosurgery, Brigham and Women's Hospital, 75 Francis Street, Boston, Massachusetts 02115.

© AANS, except where prohibited by US copyright law.

Figures

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    Digital subtraction angiogram of the left ICA demonstrating an aneurysm just proximal to the PCoA and an associated small bleb at the proximal neck (arrow).

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    Drawing depicting the anatomical relationships between the ICA, anterior choroidal artery, and PCoA (P Comm), the clip, and the site of intraoperative aneurysm rupture. A1 = proximal segment of the anterior cerebral artery; M1 = proximal segment of the middle cerebral artery.

References

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    Fisher CMOjemann RG: Basal rupture of saccular aneurysm. A pathological case report. J Neurosurg 48:6426441978Fisher CM Ojemann RG: Basal rupture of saccular aneurysm. A pathological case report. J Neurosurg 48:642–644 1978

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