Bilobulated paraclinoid aneurysm mimics double aneurysms: A comparison of endovascular coiling and surgical clipping treatments

Jui To Wang; Huai Che Yang; Chun Fu Lin; Wan Yuo Guo; Chao Bao Luo; Min Hsiung Chen; Sanford P.C. Hsu

doi:10.1016/j.jcma.2010.09.002

Bilobulated paraclinoid aneurysm mimics double aneurysms: A comparison of endovascular coiling and surgical clipping treatments

Jui To Wang, Huai Che Yang, Chun Fu Lin, Wan Yuo Guo, Chao Bao Luo, Min Hsiung Chen, Sanford P.C. Hsu^*

^*Corresponding author for this work

Department of Surgery

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

This report presents two cases of subarachnoid hemorrhage caused by rupture of paraclinoid aneurysms. Both aneurysms presented a bilobulated appearance upon image study. Both cases were treated successfully, the first with surgical clipping and the second with endovascular coiling. The special bilobulated feature of paraclinoid aneurysm in this particular anatomic location suggests its close relationship with the carotid dural ring. This relationship caused varying degrees of difficulty in both coiling and clipping the aneurysm. We compared the limitations and advantages of both treatments, and suggest that surgical clipping may be the treatment of choice in this region.

Original language	English
Pages (from-to)	544-547
Number of pages	4
Journal	Journal of the Chinese Medical Association
Volume	77
Issue number	10
DOIs	https://doi.org/10.1016/j.jcma.2010.09.002
State	Published - 1 Oct 2014

Keywords

Carotid dural ring
Clipping
Coiling
Paraclinoid aneurysm

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10.1016/j.jcma.2010.09.002

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title = "Bilobulated paraclinoid aneurysm mimics double aneurysms: A comparison of endovascular coiling and surgical clipping treatments",

abstract = "This report presents two cases of subarachnoid hemorrhage caused by rupture of paraclinoid aneurysms. Both aneurysms presented a bilobulated appearance upon image study. Both cases were treated successfully, the first with surgical clipping and the second with endovascular coiling. The special bilobulated feature of paraclinoid aneurysm in this particular anatomic location suggests its close relationship with the carotid dural ring. This relationship caused varying degrees of difficulty in both coiling and clipping the aneurysm. We compared the limitations and advantages of both treatments, and suggest that surgical clipping may be the treatment of choice in this region.",

keywords = "Carotid dural ring, Clipping, Coiling, Paraclinoid aneurysm",

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T1 - Bilobulated paraclinoid aneurysm mimics double aneurysms

T2 - A comparison of endovascular coiling and surgical clipping treatments

AU - Wang, Jui To

AU - Yang, Huai Che

AU - Lin, Chun Fu

AU - Guo, Wan Yuo

AU - Luo, Chao Bao

AU - Chen, Min Hsiung

AU - Hsu, Sanford P.C.

PY - 2014/10/1

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N2 - This report presents two cases of subarachnoid hemorrhage caused by rupture of paraclinoid aneurysms. Both aneurysms presented a bilobulated appearance upon image study. Both cases were treated successfully, the first with surgical clipping and the second with endovascular coiling. The special bilobulated feature of paraclinoid aneurysm in this particular anatomic location suggests its close relationship with the carotid dural ring. This relationship caused varying degrees of difficulty in both coiling and clipping the aneurysm. We compared the limitations and advantages of both treatments, and suggest that surgical clipping may be the treatment of choice in this region.

AB - This report presents two cases of subarachnoid hemorrhage caused by rupture of paraclinoid aneurysms. Both aneurysms presented a bilobulated appearance upon image study. Both cases were treated successfully, the first with surgical clipping and the second with endovascular coiling. The special bilobulated feature of paraclinoid aneurysm in this particular anatomic location suggests its close relationship with the carotid dural ring. This relationship caused varying degrees of difficulty in both coiling and clipping the aneurysm. We compared the limitations and advantages of both treatments, and suggest that surgical clipping may be the treatment of choice in this region.

KW - Carotid dural ring

KW - Clipping

KW - Coiling

KW - Paraclinoid aneurysm

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Bilobulated paraclinoid aneurysm mimics double aneurysms: A comparison of endovascular coiling and surgical clipping treatments

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Keywords

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