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Russian Neurosurgical Journal named after Professor A. L. Polenov

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Infundibular dilation of cerebral arteries: from diagnosis to management of patients (literature review)

Abstract

The review is devoted to the problem of infundibular dilatation (ID) of cerebral vessels and, first of all, the posterior communicating artery (PCA). Currently, there are no common views on this problem among neurosurgeons. It is believed that they are not dangerous and do not require dynamic monitoring. At the same time, a significant number of clinical cases and series of observations of direct ruptures of infundibular extensions and their transformation into aneurysms with subsequent rupture have been accumulated. In the review, the issues of diagnosing infundibular dilatation of the cerebral arteries and their difference from miliary aneurysms are considered. Particular attention is paid to the options for management of subarachnoid hemorrhage (SAH) in the absence of other vascular pathology.

About the Authors

P. G. Shnyakin
Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical Hospital
Russian Federation

Shnyakin Pavel Gennad’evich

Krasnoyarsk



P. G. Rudenko
Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical Hospital
Russian Federation

Rudenko Pavel Gennad’evich

Krasnoyarsk



A. V. Botov
Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical Hospital
Russian Federation

Botov Anton Vital’evich

Krasnoyarsk



I. A. Kazadaeva
Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

Kazadaeva Inna Aleksandrovna

Krasnoyarsk



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Review

For citations:


Shnyakin P.G., Rudenko P.G., Botov A.V., Kazadaeva I.A. Infundibular dilation of cerebral arteries: from diagnosis to management of patients (literature review). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(2):197-203. (In Russ.)

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ISSN 2071-2693 (Print)