scholarly journals Anterior Cerebral Artery Dissecting Aneurysm Presenting Subarachnoid Hemorrhage. A Case Report and Review of the Literature

2009 ◽  
Vol 37 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Masayuki NAKAJIMA ◽  
Ikuko FUSE ◽  
Keiichi TSUJI ◽  
Kazuhiko NOZAKI
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

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

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.


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.


Neurosurgery ◽  
1988 ◽  
Vol 23 (2) ◽  
pp. 221-225 ◽  
Author(s):  
Masaharu Amagasa ◽  
So Sato ◽  
Kazunori Otabe

ABSTRACT A case of cerebral infarction in the territory of the anterior cerebral artery after a minor head injury is reported. It is possible that direct or mechanical damage by the edge of the falx or stretching and shearing of the anterior cerebral artery after an acute shift of the corpus callosum caused the localized lesion of the left anterior cerebral artery. We think that this mechanical injury caused a dissecting aneurysm or a cerebral arterial dissection, which was diagnosed by sequential angiographic changes.


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