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Article
October 1959

Intracavernous Aneurysms of the Internal Carotid ArteryTheir Clinical Features and Natural History

Author Affiliations

London, England

AMA Arch Ophthalmol. 1959;62(4):566-574. doi:10.1001/archopht.1959.04220040028004
Abstract

In 1872, Roberts Bartholow, of Cincinnati, wrote a description of the clinical features of intracranial aneurysms arising from the internal carotid artery, which showed evidence of acute clinical observation. Jonathan Hutchinson, a London surgeon, described a case in 1875, and even considered carotid ligation. More recently, McKinney, Acree, and Soltz (1936) reported the clinical and radiological features of eight cases and called attention to the erosion of the optic foramen and widening of the superior orbital (sphenoidal) fissure which occurred in several of them. Jefferson (1938) made a detailed study of the clinical features of a series of 17 cases, which forms the basis of our present knowledge. At this period arteriography was in its infancy. Since then, relatively safe percutaneous angiography has become available and was undertaken in the majority of the present series of 15 patients which form the basis of the present contribution.

Aneurysms arising from the

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