scholarly journals Tetraparesis following an Anterior Circulation Stroke: A Case Report

2018 ◽  
Vol 10 (3) ◽  
pp. 342-345 ◽  
Author(s):  
Christian Saleh ◽  
Elvire Michel-de Cazotte ◽  
Margret Hund-Georgiadis

The azygos anterior cerebral artery (AACA) is a large single anterior cerebral artery that supplies both medial territories of the anterior cerebral hemispheres. Occlusion of the AACA can result, therefore, in bifrontal infarction. We report a patient who suffered from a tetraparesis following a bilateral anterior cerebral artery territory infarction due to an occluded AACA and provide a brief review of the literature.

2020 ◽  
Vol 11 ◽  
pp. 445
Author(s):  
Revaz Dzhindzhikhadze ◽  
Andrey Polyakov ◽  
Oleg Dreval ◽  
Valeriy Lazarev

Background: Fusiform aneurysms (FA) of the anterior cerebral artery (ACA) are found rarely. The common clinical presentation is a subarachnoid hemorrhage (SAH). Surgery is the main treatment to prevent rebleeding. Case Description: The authors present a case report of the ruptured FA of the ACA. The presented case demonstrates the successful microsurgical clipping of the fusiform ACA aneurysm. Conclusion: A1-segment FA can lead to SAH with poor prognosis. The main goal of surgical treatment is to prevent rebleeding. Direct microsurgical clipping is one of the surgical options.


2009 ◽  
Vol 2009 ◽  
pp. 1-5
Author(s):  
Shuichiro Asano ◽  
Tetsuo Hara

The natural history of atraumatic idiopathic dissection of the distal anterior cerebral artery is still unclear. We present a 38-year-old man who had dissection of the leftA2segment of this vessel associated with subintimal hematoma and infarction. Because of complete stroke in acute stage, he did not undergo surgery. About three months later, administration of aspirin (100 mg/day) was started. At nine months, magnetic resonance angiography revealed complete recanalization of theA2dissection. To assess the outcome of dissection, we should observe the patient for at least one year.


Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 654-658 ◽  
Author(s):  
Genya Odake

Abstract A ruptured aneurysm at the origin of the bilateral pericallosal arteries with an anomalous anterior cerebral artery was found in a 56-year-old man. The abnormal solitary anterior cerebral artery arose from the intracranial proximal internal carotid artery, passed underneath the ipsilateral optic nerve, and turned upward at the midline as a common trunk of the bilateral pericallosal arteries. Subarachnoid hemorrhage recurred 15 days postoperatively, and the patient did poorly. The 20 published cases of this rare anomaly (an infraoptic course of the anterior cerebral artery with a low bifurcation of the internal carotid artery) are reviewed. This anomaly should be referred to by the descriptive term “carotid-anterior cerebral artery anastomosis.” It is frequently associated with aneurysms.


1993 ◽  
Vol 2 (2) ◽  
pp. 152-156 ◽  
Author(s):  
Hiroaki Nomura ◽  
Michiharu Nishijima ◽  
Shyuji Hounoki ◽  
Nobuo Oka ◽  
Akira Takaku

Sign in / Sign up

Export Citation Format

Share Document