Summary
We present clinical and pathologic data on a 14-year-old boy with bilateral dissecting aneurysms of the internal carotid and middle cerebral arteries. The case is unusual in that bilateral dissecting aneurysms of the intracranial vessels have not been described, and because the internal elastic lamina was focally absent in both intracranial and somatic arteries. This abnormality of the elastica has been described in association with internal carotid occlusion and telangiectasia of the basal ganglia, the moya-moya syndrome. The relation between dissecting carotid aneurysms and moya-moya is discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anderson, R. M., Schechter, M. M.: A case of spontaneous dissecting aneurysm of the internal carotid artery. J. Neurol. Neurosurg. Psychiat.22, 195–201 (1959)
Boquist, L., Berg, P.: Multiple dissecting aneurysms in peripheral arteries. J. Pathol.100, 145–148 (1970)
Carlson, C. B., Harvey, F. H., Loop, J.: Progressive alternating hemiplegia in early childhood with basal arterial stenosis and telangiectasia (moya-moya syndrome). Neurology (Minneap.)23, 734–744 (1973)
Coulson, W. F., Carnes, W. H.: Cardiovascular studies of copper-deficient swine. V. The histogenesis of the coronary lesion. Amer. J. Pathol.43, 945–954 (1963)
Francoise, R., Maltaise, R., Giroux, J. C.: Dissecting aneurysm of the middle cerebral artery. J. Neurosurg.21, 413–415 (1964)
Goyette, E. M., Palmer, P. W.: Cardiovascular lesions in arachnodactyly. Circulation7, 373–379 (1953)
Harvey, F. H., Alvord, E. C., Jr.: Juvenile cerebral arteriosclerosis and other cerebral arteriopathies of childhood—six autopsied cases. Acta neurol. scand.48, 479–509 (1972)
Nishimoto, A., Takeuchi, S.: Abnormal cerebrovascular network related to the internal carotid arteries. J. Neurosurg.29, 255–260 (1968)
Ojemann, R. G., Fisher, C. M., Rich, J. C.: Spontaneous dissecting aneurysm of the internal carotid artery. Stroke3, 434 (1972)
Okawara, S. H., Calkins, R. A.: Cerebral arterial occlusive disease with telangiectasia associated with oral contraceptives. Arch. Neurol. (Chic.)29, 60–62 (1973)
Ramsey, T. L., Mosguera, V. T.: Dissecting aneurysm of the middle cerebral artery. Ohio St. med. J.44, 168–170 (1948)
Ritchie, G.: Dissecting aneurysm of the left internal carotid and left middle cerebral arteries. Wisc. med. J.60, 556–558 (1961)
Sinclair, R. T. G., Kitchin, A. H., Turner, R. W. D.: The Marfan syndrome. Quart. J. Med.29, 19–46 (1960)
Soto, O., Bascom, J. F., Logothetus, J.: Intracranial dissecting aneurysm. J. Neurosurg.35, 483–487 (1971)
Spudis, E. V., et al.: Dissecting aneurysms in the neck and head. Neurology (Minneap.)12, 867–875 (1962)
Starcher, B., Hill, C. H., Matrone, G.: Importance of dietary copper in the formation of aortic elastin. J. Nutrition82, 318–322 (1964)
Stehbens, W. F.: Pathology of the cerebral blood vessels, pp. 434–445. St. Louis: CV Mosby Co. 1972
Watson, A. J.: Dissecting aneurysm of arteries other than the aorta. J. Path. Bact.72, 439–449 (1956)
Wisoff, H. S., Rothballer, A. B.: Cerebral arterial thrombosis in children. Arch. Neurol. (Chic.)4, 258–267 (1961)
Wolman, L.: Cerebral dissecting aneurysm. Brain82, 276–291 (1959)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Adelman, L.S., Doe, F.D. & Sarnat, H.B. Bilateral dissecting aneurysms of the internal carotid arteries. Acta Neuropathol 29, 93–97 (1974). https://doi.org/10.1007/BF00684768
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00684768