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Pathophysiology and Anatomy

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Microsurgical Brain Aneurysms

Abstract

More than 90 % of all saccular aneurysms arise from bifurcations or appear at the origin of small side branches (percentages are approximate):

  • Middle cerebral artery main bifurcation (15–30 %)

  • Anterior communicating artery (20–30 %)

  • Internal carotid–posterior communicating artery (15 %)

  • Basilar tip (5 %)

Rare bifurcation aneurysm locations:

  • Internal carotid artery bifurcation (2 %)

  • Internal carotid–anterior choroidal artery (1–2 %)

  • Pericallosal–callosomarginal artery (2 %)

  • Basilar–superior cerebellar artery (2 %)

  • Vertebral artery–posterior inferior cerebellar artery (2 %)

  • Vertebrobasilar junction (1 %)

  • Basilar–anterior inferior cerebellar artery (0.5–1 %)

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Steiger, HJ., Etminan, N., Hänggi, D. (2015). Pathophysiology and Anatomy. In: Microsurgical Brain Aneurysms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45679-8_2

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  • DOI: https://doi.org/10.1007/978-3-662-45679-8_2

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  • Publisher Name: Springer, Berlin, Heidelberg

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