scholarly journals Chronic Recanalization of Dissection of the Distal Anterior Cerebral Artery: Case Report and Review of the Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-5
Author(s):  
Shuichiro Asano ◽  
Tetsuo Hara
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Acute Stage ◽  
Review Of The Literature ◽  
History Of ◽  
One Year ◽  
Distal Anterior Cerebral Artery

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.

Bilateral Internal Carotid to Anterior Cerebral Artery Anastomosis with Anterior Communicating Artery Aneurysm: Technical Case Report

2005 ◽  
Vol 57 (suppl_4) ◽  
pp. ONS-E400-ONS-E400 ◽  
Author(s):  
Kaya Kılıç ◽  
Metin Orakdöğen ◽  
Aram Bakırcı ◽  
Zafer Berkman
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery

Abstract OBJECTIVE AND IMPORTANCE: The present case report is the first one to report a bilateral anastomotic artery between the internal carotid artery and the anterior communicating artery in the presence of a bilateral A1 segment, fenestrated anterior communicating artery (AComA), and associated aneurysm of the AComA, which was discovered by magnetic resonance angiography and treated surgically. CLINICAL PRESENTATION: A 38-year-old man who was previously in good health experienced a sudden onset of nuchal headache, vomiting, and confusion. Computed tomography revealed a subarachnoid hemorrhage. Magnetic resonance angiography and four-vessel angiography documented an aneurysm of the AComA and two anastomotic vessels of common origin with the ophthalmic artery, between the internal carotid artery and AComA. INTERVENTION: A fenestrated clip, introduced by a left pterional craniotomy, leaving in its loop the left A1 segment, sparing the perforating and hypothalamic arteries, excluded the aneurysm. CONCLUSION: The postoperative course was uneventful, with complete recovery. Follow-up angiograms documented the successful exclusion of the aneurysm. Defining this particular internal carotid-anterior cerebral artery anastomosis as an infraoptic anterior cerebral artery is not appropriate because there is already an A1 segment in its habitual localization. Therefore, it is also thought that, embryologically, this anomaly is not a misplaced A1 segment but the persistence of an embryological vessel such as the variation of the primitive prechiasmatic arterial anastomosis. The favorable outcome for our patient suggests that surgical treatment may be appropriate for many patients with this anomaly because it provides a complete and definitive occlusion of the aneurysm.

Current Management of Mirror Distal Anterior Cerebral Artery Aneurysms in Association with Multiple Aneurysms: Case Report with Literature Review

2019 ◽  
Vol 130 ◽  
pp. 324-334
Author(s):  
Adi Ahmetspahić ◽  
Eldin Burazerović ◽  
Ibrahim Omerhodžić ◽  
Muhammed Abdullah Gülmez ◽  
Haso Sefo ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Current Management ◽  
Multiple Aneurysms ◽  
Distal Anterior Cerebral Artery

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
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Cerebral Hemispheres ◽  
Review Of The Literature ◽  
Anterior Circulation

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.

Endovascular Treatment of Distal Anterior Cerebral Artery Aneurysms: Technical Results and Review of the Literature

2010 ◽  
Vol 20 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Nirav Vora ◽  
Ajith J. Thomas ◽  
Rishi Gupta ◽  
Yakov Gologorsky ◽  
Narendra Panapitiya ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Review Of The Literature ◽  
Distal Anterior Cerebral Artery
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