Neurosurgery
doi: 10.25005/2074-0581-2023-25-1-140-149
A CASE OF SUCCESSFUL OPEN SURGICAL TREATMENT OF A GIANT ANEURISM OF THE SUPRACLINOID SEGMENT OF THE INTERNAL CAROTID ARTERY

N.O. Rakhimov1, V.A. Lukyanchikov2,3, Kh.D. Rakhmonov1,4, R.N. Berdiev4, S.N. Shoev5

1National Medical Center of the Republic of Tajikistan «Shifobakhsh», Dushanbe, Republic of Tajikistan
2Department of Urgent Neurosurgery, Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
3Department of Neurosurgery and Neuroresuscitation, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
4Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
5Health Complex «Istiklol», Dushanbe, Republic of Tajikistan

Methods: Despite the progress in developing high-tech methods for neurosurgical patient treatment, managing giant internal carotid artery (ICA) aneurysms remains challenging. We report a case of the successful surgical treatment of a patient with a highly complex clinical problem – a giant aneurysm (GA) at the right supraclinoid ICA. First, the extent of an open surgical intervention was as follows: the ICA was exposed using a linear neck incision and mobilized. Then, osteoplastic skull trepanation in the pterional region and the aneurysmal portion of supraclinoid ICA was performed. The chosen surgical tactics prevented recurrent subarachnoid and intracerebral hemorrhage, ischemia, edema, and brain compression, which are closely related to death and disability. Based on the above, the treatment method has been considered a practical option for treating this cohort of patients.

Keywords: Internal carotid artery, aneurysm, clipping, intracranial hemorrhage, intraventricular hemorrhage.

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Authors' information:

Rakhimov Narzullo Odinaevich,
Candidate of Medical Sciences, Neurosurgeon, National Medical Center of the Republic of Tajikistan «Shifobakhsh»
ORCID ID: 0000-0002-8471-1808
Е-mail: narzullorahimov91@gmail.com

Lukyanchikov Viktor Aleksandrovich,
Doctor of Medical Sciences, Leading Researcher, Department of Urgent Neurosurgery, Sklifosovsky Research Institute for Emergency Medicine; Professor of the Department of Neurosurgery and Neuroresuscitation, A.I. Yevdokimov Moscow State University of Medicine and Dentistry
ORCID ID: 0000-0003-4518-9874
Е-mail: vik-luk@yandex.ru

Rakhmonov Khurshed Dzhamshedovich,
Doctor of Medical Sciences, Principal Researcher, National Medical Center of the Republic of Tajikistan «Shifobakhsh»; Associate Professor of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-6782-2979
Е-mail: doc-Rahmonov@mail.ru

Berdiev Rustam Namozovich,
Doctor of Medical Sciences, Head of the Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-4804-1931
Е-mail: namozoda@mail.ru

Shoev Sadullo Nazulloevich,
Candidate of Medical Sciences, Head of the Department of Neurosurgery, Health Complex «Istiklol»
ORCID ID: 0000-0002-6789-2777
Е-mail: shoev76@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Rakhimov Narzullo Odinaevich
Candidate of Medical Sciences, Neurosurgeon, National Medical Center of the Republic of Tajikistan «Shifobakhsh»

734026, Republic of Tajikistan, Dushanbe, Somoni Ave., 59

Tel.: +992 (918) 470304

Е-mail: narzullorahimov91@gmail.com

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