Anterior Cerebral Artery Aneurysm: Incidental Saccular Aneurysms of an Azygos Anterior Cerebral Artery and of the Right-Hand Fenestrated A1 Segment; Endovascular Treatment of both Aneurysms with Stent- and pCONUS1 Assisted Coil Occlusion with Complete Occlusion During Long-Term Follow-Up and with a Good Clinical Outcome

2019 ◽  
pp. 1-14
Author(s):  
Georg Gihr ◽  
Marta Aguilar Pérez ◽  
Alexander Sirakov ◽  
Hansjörg Bäzner ◽  
Hans Henkes
2015 ◽  
Vol 8 (11) ◽  
pp. e47-e47 ◽  
Author(s):  
Albert Ho Yuen Chiu ◽  
Thomas R Marotta

More than half a decade of experience and follow-up has now been accumulated with regard to flow diversion as a treatment for intracranial aneurysms; however, many uncertainties, such as the nature of aneurysmal remnants and the meaning of non-regressed, non-perfused aneurysmal masses, are still unknown. Here we discuss a 22-year-old man who presented with a grade 1 subarachnoid hemorrhage secondary to a dissecting right anterior cerebral artery aneurysm who was subsequently treated with a Pipeline Embolization Device construct. After ceasing dual antiplatelet therapy himself, he was found on MRI to have an area of increased aneurysmal remnant reperfusion. This was found to connect to multiple channels which reconstituted flow within the distal construct on angiography. The central area of construct thrombosis could not be visualized on MRI. The finding suggests that non-opacified aneurysmal remnants that have not regressed are biologically active and raises concerns regarding using MRI for long term follow-up.


2017 ◽  
Vol 8 (1) ◽  
pp. 157-162
Author(s):  
Yurie Fukiyama ◽  
Hidehiro Oku ◽  
Yusuke Hashimoto ◽  
Yuko Nishikawa ◽  
Masahiro Tonari ◽  
...  

It is not common for an isolated visual symptom to be the first indication of an aneurysm compressing the optic nerve. The compression can lead to blindness, and a recovery from the blindness is rare. We report a female with a left painless optic neuropathy caused by an unruptured anterior cerebral artery aneurysm. The patient had a temporal hemianopic visual field defect, which progressed to blindness in the left eye, while the right visual function was not affected. A coil embolization of the aneurysm completely restored her visual acuity to 20/20. These findings suggest that aneurysmal lesions should be ruled out in case of unilateral optic neuropathy with hemianopic visual field defects and progressive visual loss.


F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 804 ◽  
Author(s):  
Sunil Munakomi ◽  
Karuna Tamrakar ◽  
Pramod Chaudhary ◽  
Binod Bhattarai ◽  
Iype Cherian

Traumatic intracranial aneurysm in the proximal part of the anterior cerebral artery in the pediatric population has not been documented so far. Here we report the case of a 4 year-old child who developed a pseudo-aneurysm after minor head trauma and was managed successfully with trapping of the aneurysm. A ventriculo-peritoneal shunt was placed as the child became dependent on extraventricular drain during the post-operative period. The patient made excellent recovery in neurological status within 1 month of post-operative clinical follow up.


Nosotchu ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 322-326 ◽  
Author(s):  
Kyozo Kato ◽  
Suguru Inao ◽  
Takeshi Okamoto ◽  
Shigemasa Hayashi ◽  
Takehiro Naito ◽  
...  

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