Aneurisma gigante del sifone carotideo in paziente con neurosifilide latente, trattato con bypass extraintracranico ad alto flusso e trapping della carotide interna

Translated title of the contribution: Giant aneurysm of the carotid siphon in patient with latent neurosyphilis, treated with high-flow extraintracranial bypass and trapping of the internal carotid artery

Giovanni Mancini, Giovanni Pauletti, Lorenzo Sinibaldi, Francesca Muzzi, Antonio Santoro, Emilio Passacantilli, Giampaolo Cantore

Research output: Contribution to journalArticlepeer-review

Abstract

In a 44 year-old male patient, admitted to the hospital for a generalized seizure with prolonged psychomotor slowing, a positivity for serological markers of syphilis and a large-necked giant aneurysm of the left intracavernous carotid siphon was diagnosed by means of CT-scan, MRI and Angiography, with partial thrombosis inside the aneurysmal sac. The large volume and location of the aneurysm made the direct clipping of the lesion difficult. It was therefore decided a more conservative neurosurgical approach, consisting in the clipping of the supraclinoid tract of the siphon and the emptying of the aneurysm, after revascularization by means of a high-flow bypass from the internal carotid to the middle cerebral artery (temporal branch) with a graft of saphenus vein, to supply an adequate perfusion to the carotid territory. The relationship between possible latent syphilitic infection and the pathogenesis of the giant aneurysm is discussed, as a possible meningovascular form of neurolues.

Translated title of the contributionGiant aneurysm of the carotid siphon in patient with latent neurosyphilis, treated with high-flow extraintracranial bypass and trapping of the internal carotid artery
Original languageItalian
Pages (from-to)445-450
Number of pages6
JournalRivista di Neurobiologia
Volume46
Issue number5-6
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Neuroscience(all)

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