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August 1977

Carotid Stenosis and Coexisting Ipsilateral Intracranial Aneurysm: A Problem in Management

Author Affiliations

From the department of Neurology, University of Iowa Hospitals, Iowa City.

Arch Neurol. 1977;34(8):515-516. doi:10.1001/archneur.1977.00500200075017

• A patient treated by surgical correction of carotid stenosis later died of subarachnoid hemorrhage from rupture of a previously asymptomatic ipsilateral cerebral aneurysm. When the two conditions coexist, the increase in blood flow resulting from repair of the stenosis may promote rupture of the higher aneurysm.