scholarly journals Dissecting Aneurysms at the A1 Segment of the Anterior Cerebral Artery. Two Case Reports.

2001 ◽  
Vol 41 (5) ◽  
pp. 271-278 ◽  
Author(s):  
Jun HIRAO ◽  
Hisayo OKAMOTO ◽  
Takashi WATANABE ◽  
Shuichiro ASANO ◽  
Akira TERAOKA

2017 ◽  
Vol 41 (2) ◽  
pp. 409-414 ◽  
Author(s):  
Takafumi Mitsuhara ◽  
Fusao Ikawa ◽  
Toshikazu Hidaka ◽  
Yasuharu Kurokawa ◽  
Ushio Yonezawa


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.



2008 ◽  
Vol 14 (4) ◽  
pp. 441-445 ◽  
Author(s):  
S.J. Dimmick ◽  
K.C. Faulder

Fenestration of the A2 segment is extremely rare. Cerebrovascular fenestration may be associated with an increased incidence of cerebral aneurysm and other vascular anomalies. Two case reports are presented which identify a fenestration of the A2 segment and other normal variations of the intra-cerebral circulation. A review of the literature has been undertaken to determine the prevalence and embryology of anterior cerebral artery fenestrations, their clinical significance and the association with aneurysm formation and other intracranial vascular anomalies.



2010 ◽  
Vol 50 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Yoichi UOZUMI ◽  
Hiroshi KATOH ◽  
Nobusuke TSUZUKI ◽  
Terushige TOYOOKA ◽  
Takahito MIYAZAWA ◽  
...  


2007 ◽  
Vol 42 (4) ◽  
pp. 342 ◽  
Author(s):  
Jun Suk Huh ◽  
Sang Keun Park ◽  
Jun Jae Shin ◽  
Tae Hong Kim


2017 ◽  
Vol 13 (4) ◽  
pp. E14-E18 ◽  
Author(s):  
Yasunori Nagai ◽  
Masanori Goto ◽  
Hiroki Toda ◽  
Namiko Nishida ◽  
Naoya Yoshimoto ◽  
...  

Abstract BACKGROUND AND IMPORTANCE: Indocyanine green videoangiography (ICG-VA) is an important intraoperative adjunct for saccular aneurysm surgery, but its efficacy in surgery for dissecting aneurysms has rarely been reported. The authors describe the usefulness of preclipping ICG-VA in a rare case of a ruptured dissecting aneurysm located at the precommunicating (A1) segment of the anterior cerebral artery. CLINICAL PRESENTATION: A 52-year-old woman, with no history of connective tissue diseases or vascular disorders, presented with sudden headache and convulsion. The CT scan showed that the patient had subarachnoid hemorrhage. Angiography showed a dissecting aneurysm in the left A1 segment of the anterior cerebral artery. Thus, the patient underwent trapping of the dissecting aneurysm. ICG-VA was used as an intraoperative adjunct before and after clipping. The preclipping ICG-VA showed the heterogeneously bright dissecting aneurysm and branching arteries even in the presence of hematoma. CONCLUSION: Preclipping ICG-VA may enhance the advantage of direct surgery for dissecting aneurysm by allowing visualization of the extent of the dissected vascular wall and the related branching arteries. ICG-VA can be an indispensable adjunct to minimize the compromise from the surgical treatment for intracranial dissecting aneurysms.



2013 ◽  
Vol 14 (4) ◽  
pp. 279-282
Author(s):  
Abdulkadir Tunc ◽  
Orhan Yagiz ◽  
Himmet Dereci ◽  
Belma Dogan Gulgen ◽  
Adil Ozturk


1997 ◽  
Vol 20 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Yasunari Otawara ◽  
Michiyasu Suzuki ◽  
Miyuki Abe ◽  
Nobuhiko Tomizuka ◽  
Akira Ogawa


2019 ◽  
Vol 14 (3) ◽  
pp. 957 ◽  
Author(s):  
Dilshod Mamadaliev ◽  
Yoko Kato ◽  
Sandeep Talari ◽  
Tushit Mewada ◽  
Yasuhiro Yamada ◽  
...  


2020 ◽  
Vol 14 (10) ◽  
pp. 435-440
Author(s):  
Naoto Tsuchiya ◽  
Hidemoto Fujiwara ◽  
Haruhiko Takahashi ◽  
Ryousuke Ogura ◽  
Junichi Yoshimura ◽  
...  


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