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April 1942

SUPRASELLAR ANEURYSM: Report of a Case, with Recovery

Author Affiliations

St. Louis

From the neurosurgical service of Roland M. Klemme, Chairman, Division of Neurosurgery, St. Louis University School of Medicine.

Arch NeurPsych. 1942;47(4):662-666. doi:10.1001/archneurpsyc.1942.02290040152008

We wish to report a case of suprasellar aneurysm exposed and incised at operation. A large muscle graft was packed into the aneurysmal sac. This is the sixth instance that we have found of a patient's surviving the opening of a suprasellar aneurysm. Since we have been able to find but few cases of this type in the literature, we wish to emphasize certain aspects of the problem of suprasellar aneurysm both from the diagnostic and from the therapeutic standpoint.

The association of paralysis of the third, fourth, fifth and sixth cranial nerves with aneurysms of the infraclinoid portion of the internal carotid artery has become well known. Dandy1 has reported several such cases of pure arterial aneurysm diagnosed by clinical means and cured by operation.

A second type of aneurysm has been but little mentioned in the literature. To distinguish this type from the infraclinoid group, it is

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