{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T19:03:18Z","timestamp":1778785398602,"version":"3.51.4"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> Subarachnoid hemorrhage (SAH) caused by the rupture of a dissecting aneurysm of the internal carotid artery (ICA) has been considered rare. Based on data from cooperatively collected cases, the clinical features of patients with dissecting aneurysms of the ICA who presented with SAH were examined.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Data from 18 patients with dissecting aneurysms of the ICA who presented with SAH diagnosed on the basis of clinical signs, neuroradiological findings, and intraoperative findings from 41 institutions were collected during a 5-year period between 1995 and 1999. The authors found that 0.3% of all cases of SAH and 3.1% of cases of SAH of unverified cause were attributable to a dissecting aneurysm of the ICA. Eleven patients (61%) were middle-aged women, and eight patients (44%) had hypertension. Rebleeding before admission was demonstrated in 13 patients (72%), and intraoperative bleeding was exhibited in half of the patients who underwent surgery during the acute stage. Postoperative growth of an aneurysm bulge or recurrent SAH was seen in five of 10 patients who had undergone wrapping or clipping of the aneurysm bulge in the acute phase. Trapping with or without bypass, which resulted in no postoperative recurrence, was performed in three patients in the acute stage and in two patients in the chronic stage. Twelve patients (67%) had a poor prognosis, primarily attributed to intraoperative bleeding and postoperative recurrence.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Generally, dissecting aneurysms of the ICA are not thought of as frequent causes of SAH. Nonetheless, the presence of these aneurysms should be considered when dealing with SAH because they have a susceptibility to bleeding that can lead to a poor prognosis. Careful surgical planning is necessary to decrease intraoperative bleeding and to avoid postoperative recurrence.<\/jats:p>","DOI":"10.3171\/jns.2002.97.3.0576","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:44:05Z","timestamp":1242236645000},"page":"576-583","source":"Crossref","is-referenced-by-count":53,"title":["Subarachnoid hemorrhage caused by a dissecting aneurysm of the internal carotid artery"],"prefix":"10.3171","volume":"97","author":[{"given":"Hiroki","family":"Ohkuma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Nakano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Manabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeharu","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"419","DOI":"10.3171\/jns.1998.89.3.0419","article-title":"Blood blisterlike aneurysms of the internal carotid artery.","volume":"89","author":"Abe","year":"1998"},{"key":"b2","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1001\/archneur.1982.00510240035009","article-title":"Intracranial hemorrhage produced by spontaneous dissecting intracranial aneurysm.","volume":"39","author":"Adams","year":"1982"},{"key":"b3","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"882","DOI":"10.3171\/jns.1984.61.5.0882","article-title":"Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of the literature.","volume":"61","author":"Berger","year":"1984"},{"key":"b4","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1227\/00006123-198001000-00001","article-title":"Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning.","volume":"6","author":"Fisher","year":"1980"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"325","DOI":"10.3171\/jns.1984.60.2.0325","article-title":"Subarachnoid hemorrhage from intracranial dissecting aneurysm.","volume":"60","author":"Friedman","year":"1984"},{"key":"b6","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1212\/WNL.25.8.725","article-title":"Stroke in a 15-year-old girl secondary to terminal carotid dissection.","volume":"25","author":"Hochberg","year":"1975"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"14","DOI":"10.3171\/jns.1968.28.1.0014","article-title":"Surgical risk as related to time of intervention in the repair of intracranial aneurysms.","volume":"28","author":"Hunt","year":"1968"},{"key":"b8","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1097\/00006123-199702000-00038","article-title":"Pathological consideration of a \u201cblister-like\u201d aneurysm at the superior wall of the internal carotid artery: case report.","volume":"40","author":"Ishikawa","year":"1997"},{"key":"b9","series-title":"Lancet","first-page":"480","article-title":"Assessment of outcome after severe brain damage. A practical scale.","volume":"1","author":"Jennett","year":"1975"},{"key":"b10","series-title":"Neurosurgery","first-page":"620","article-title":"Intracranial vertebral artery dissections: clinical, radiological features, and surgical consideration.","volume":"34","author":"Kitanaka","year":"1994"},{"key":"b11","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1007\/BF00588430","article-title":"Subarachnoid hemorrhage following spontaneous intracranial carotid artery dissection.","volume":"34","author":"Massoud","year":"1992"},{"key":"b12","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/S0090-3019(96)00363-1","article-title":"Subarachnoid hemorrhage associated with angiographic \u201cstenotic\u201d or \u201cocclusive\u201d lesions in the carotid circulation.","volume":"49","author":"Mizutani","year":"1998"},{"key":"b13","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1212\/WNL.38.6.880","article-title":"Spontaneous dissections of the vertebral arteries.","volume":"38","author":"Mokri","year":"1988"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"303","DOI":"10.3171\/jns.1986.65.3.0303","article-title":"Aneurysms protruding from the dorsal wall of the internal carotid artery.","volume":"65","author":"Nakagawa","year":"1986"},{"key":"b15","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.1161\/01.STR.28.6.1278","article-title":"Ruptured dissecting aneurysm as a cause of subarachnoid hemorrhage of unverified etiology.","volume":"28","author":"Nakatomi","year":"1997"},{"key":"b16","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1212\/WNL.35.7.993","article-title":"Dissecting aneurysms of head and neck.","volume":"35","author":"O'Connell","year":"1985"},{"key":"b17","series-title":"Neurosurgery","first-page":"578","article-title":"Aneurysms at nonbranching sites in the supraclinoid portion of the internal carotid artery: internal carotid artery trunk aneurysms.","volume":"47","author":"Ogawa","year":"2000"},{"key":"b18","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1161\/01.STR.32.5.1176","article-title":"Incidence and significance of early aneurysmal rebleeding before neurosurgical or neurological management.","volume":"32","author":"Ohkuma","year":"2001"},{"key":"b19","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.1161\/01.STR.20.8.1100","article-title":"Spontaneous intracranial carotid artery dissection.","volume":"20","author":"Pessin","year":"1989"},{"key":"b20","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3171\/jns.1991.75.1.0069","article-title":"Benign arterial dissections of the posterior circulation.","volume":"75","author":"Pozzati","year":"1991"},{"key":"b21","series-title":"Surg Cereb Sroke","doi-asserted-by":"publisher","first-page":"333","DOI":"10.2335\/scs1987.24.5_333","article-title":"[Concerning the nomenclature and classification of internal carotid aneurysms.]","volume":"24","author":"Sano","year":"1996"},{"key":"b22","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"874","DOI":"10.3171\/jns.1991.75.6.0874","article-title":"A clinicopathological study of dissecting aneurysms of the intracranial vertebral artery.","volume":"75","author":"Sasaki","year":"1991"},{"key":"b23","series-title":"Acta Neurochir","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1007\/BF01541780","article-title":"Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management.","volume":"119","author":"Shigeta","year":"1992"},{"key":"b24","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.3171\/jns.1984.61.6.1038","article-title":"Dissecting aneurysm of the vertebral artery. Report of seven cases and angiographic findings.","volume":"61","author":"Shimoji","year":"1984"},{"key":"b25","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1161\/01.STR.27.3.550","article-title":"Comparing stroke incidence worldwide: what makes studies comparable?","volume":"27","author":"Sudlow","year":"1996"},{"key":"b26","series-title":"Arch Neurol","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1001\/archneur.1961.00450090024004","article-title":"Cerebral arterial thrombosis in children. Review of literature and addition of two cases in apparently healthy children.","volume":"4","author":"Wisoff","year":"1961"},{"key":"b27","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"183","DOI":"10.3171\/jns.1990.72.2.0183","article-title":"Dissecting aneurysms of the intracranial vertebral artery.","volume":"72","author":"Yamaura","year":"1990"},{"key":"b28","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1161\/01.STR.28.2.370","article-title":"Unruptured intracranial vertebral artery dissection. Clinical course and serial radiographic imagings.","volume":"28","author":"Yoshimoto","year":"1997"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/97\/3\/article-p576.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/97\/3\/article-p576.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/97\/3\/article-p576.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T00:59:43Z","timestamp":1679273983000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/97\/3\/article-p576.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,9]]},"references-count":28,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.2002.97.3.0576","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2002,9]]}}}