scholarly journals A Case of Dissecting Aneurysm of the Peripheral Anterior Cerebral Artery Causing Subarachnoid Hemorrhage

2009 ◽  
Vol 37 (4) ◽  
pp. 288-293 ◽  
Author(s):  
Masayasu KATO ◽  
Yoshitaka TANAKA ◽  
Tatsuya KURODA ◽  
Toshihiko NAKASHIMA ◽  
Tatsuaki HATTORI
2008 ◽  
Vol 1 ◽  
pp. CCRep.S833
Author(s):  
Akihiro Kurosu ◽  
Shizuo Hatashita ◽  
Hideo Ueno

Introduction Intracranial dissecting aneurysms have been increased due to recent advancements in diagnostic imaging. However there have been little article with subarachnoid hemorrhage and cerebral infarction occurring almost at the same time. We performed the surgical treatment and obtained good result. Case presentation A 47-year-old male presented to our hospital with chief complaints of sudden headache and mild paralysis of the left lower extremity. Brain imaging at admission revealed cerebral infarction in the right frontal lobe and subarachnoid hemorrhage in the frontal convexy and anterior interhemispheric fissure. The left and right internal carotid angiography showed a bulging cerebral aneurysm at the left A1–A2 junction and stenosis and arterial dissections in the peripheral of the bilateral anterior cerebral artery. Wrapping was performed for the dissecting aneurysm of the left anterior cerebral artery. For the right anterior cerebral artery, trapping was performed at the A2 segment without vascular anastomosis. The patient's postoperative course was uneventful. Conclusion A consensus has not been reached on the treatment for intracranial dissecting aneurysms. Proximal trapping without vascular reconstruction was performed for the right anterior cerebral artery without vascular anastomosis to prevent rebleeding. However no symptoms of neurological deficiency were observed. Proximal trapping of dissecting aneurysm seems to be a good option when patient's functional and life prognosis are taken into account in case that vascular reconstruction will be anticipated difficulty.


2001 ◽  
Vol 10 (6) ◽  
pp. 384-388 ◽  
Author(s):  
Masami Ueno ◽  
Atsuhiro Fukuda ◽  
Kunikazu Yamane ◽  
Keisuke Kumada ◽  
Akitsugu Kohama

1998 ◽  
Vol 7 (5) ◽  
pp. 310-314 ◽  
Author(s):  
Hiromichi Yamamoto ◽  
Osamu Fukuda ◽  
Takakage Saito ◽  
Shunro Endo ◽  
Akira Takaku

1997 ◽  
Vol 25 (6) ◽  
pp. 472-475 ◽  
Author(s):  
Tsuyoshi MATSUMOTO ◽  
Ikuya YAMAURA ◽  
Eiichi TANI ◽  
Yasuhisa FUKUSHIMA ◽  
Shigeatsu NATSUME

2009 ◽  
Vol 15 (1) ◽  
pp. 123-126 ◽  
Author(s):  
M. Lv ◽  
X. Lv ◽  
Y. Li ◽  
C. Jiang ◽  
P. Jiang ◽  
...  

Aneurysms of the A1 segment of the anterior cerebral artery (ACA) are rare. We described the first documented endovascular treatment of an A1 portion dissecting aneurysm by parent artery occlusion. A 43-year-old man patient presented with subarachnoid hemorrhage. Cerebral angiography demonstrated a dissecting aneurysm of the left anterior cerebral artery (ACA) at A1 portion. Because of the dissecting nature of the A1 portion aneurysm, a 2.5×15-mm Neuroform stent was placed in the left A1 portion. However, regrowth of the aneurysm was found on the three month follow-up angiogram, so the aneurysm and the left A1 portion of ACA were occluded completely.


2020 ◽  
Vol 134 ◽  
pp. 123-127 ◽  
Author(s):  
Mohammad Hassan A. Noureldine ◽  
Ibrahim Saikali ◽  
Anis Nassif ◽  
Rita Chahinian ◽  
Ahmad Sweid ◽  
...  

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