[Extracranial internal XXXX and coexisting @entity438 ].

@entity1 @entity2003 @entity64 @entity101 @entity6 @entity510 @entity1269 @entity548 @entity391 @entity2998 @entity2554 @entity439 @entity6075 @entity432 @entity10 @entity438
A rare case of extracranial internal @entity432 with a coexisting @entity439 is reported. A 50-year-old male had a sudden onset of severe @entity10 , @entity391 and right motor weakness on May 14, 1984. Two days later the @entity1 was transferred to our hospital. On admission he was alert but presented with @entity2003 and right moderate @entity1269 . He had an episode of a @entity6075 12 years previously, but no history of @entity101 , @entity6 or @entity64 . A computed tomography revealed mild @entity510 and mild @entity2554 . A cerebral angiography did not demonstrate any @entity439 but it revealed @entity432 at the cervical bifurcation. The repeated angiography on May 31 disclosed a saccular @entity439 arising anteromedially at the level of the junction of the right posterior communicating @entity2998 . The cervical internal carotid artery remained occluded at the same site. The middle cerebral artery was supplied through the well-developed posterior communicating artery, and the right anterior cerebral artery was supplied through the anterior communicating artery. Clipping of the @entity439 was attempted but it was forcibly trapped because of @entity548 on June 5. The right V-P shunt was performed for the progressive @entity2554 on June 12. The @entity1 was discharged with no paresis on June 20. It has been well known that the uni- or bilateral @entity432 , whatever the origins are, are often associated with @entity438 .(ABSTRACT TRUNCATED AT 250 WORDS)
