L'ANEVRYSME DE LA BIFURCATION CAROTIDIENNE INTRA CRANIENNE

The authors analyse 14 cases of aneurysm occurring at the point of bifurcation of the internal carotid artery into the middle and anterior cerebral arteries. Distinguishing features of this aneurysm are often its fairly large size and extensive implantation on the artery. Clinical symptoms are not specific but various neurological signs are frequent. The bifurcation of the carotid artery is not always readily visible; oblique views and angiotomography are often necessary. Owing to the usual severity of the natural evolution of this type of aneurysm (death in 6 out of 8 cases), surgical treatment is advisable. Ligation of the carotid artery is not advisable because of the unpredictable nature of the results (further fatal haemorrhage in 1 out of 3 cases). Exclusion of the aneurysm itself is the best method.SCOPUS: NotDefined.j