Determination of main feeding artery with CT findings in cases of ruptured aneurysm of anterior communicating artery

1993 ◽  
Vol 29 (1) ◽  
pp. 20
Author(s):  
Eun Joo An ◽  
Ho In Chung ◽  
Eun Chul Chung ◽  
Jeong Soo Suh ◽  
Seoung Ro Lee
2000 ◽  
Vol 6 (2) ◽  
pp. 141-145
Author(s):  
R. Guzman ◽  
L. Remonda ◽  
K.O. Lövblad ◽  
A. Barth ◽  
G. Schroth

We present the case of a patient with acute onset of headache who showed a flow-related acutely ruptured aneurysm on the feeding artery of an AVM in the angiogram. Rerupture of the aneurysm occurred during angiography after endovascular treatment with a Guglielmi detachable coil. The possible mechanisms leading to rupture of the aneurysm are discussed.


1991 ◽  
Vol 4 (3) ◽  
pp. 167-179 ◽  
Author(s):  
Alan J. Parkin ◽  
Caroline Barry

We describe a right-handed patient who suffered a ruptured aneurysm of the anterior communicating artery (ACoA) which was clipped successfully. Computerized tomography indicated a low density area in the genu of the corpus callosum and the infero-lateral aspect of the left frontal lobe. On recovery the patient's most notable deficit was the “alien hand sign” whereby the left hand would frequently interfere with the actions of the right hand. Problems in response initiation were also evident. There was significant memory loss and performance was impaired on some tests of frontal lobe function. Discussion centres on the functional locus of the alien hand sign but other aspects of the patient's deficits are also considered.


2006 ◽  
Vol 15 (9) ◽  
pp. 626-630
Author(s):  
Yoshinori Aoki ◽  
Masaaki Nemoto ◽  
Kyosuke Yokota ◽  
Kosuke Kondo ◽  
Chikao Miyazaki ◽  
...  

1981 ◽  
Vol 54 (5) ◽  
pp. 677-680 ◽  
Author(s):  
Marcia Katz ◽  
Hugh S. Wisoff ◽  
Robert D. Zimmerman

✓ Unique radiographic and autopsy findings are described in a patient with bilateral basilar artery-middle meningeal artery (BA-MMA) anastomoses associated with a ruptured aneurysm of the anterior communicating artery. The literature, anatomy, and embryology of BA-MMA anastomosis is reviewed.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Peyton L Nisson ◽  
Ali Tayebi Meybodi ◽  
Garrett K Berger ◽  
Austen Thompson ◽  
Ramin A Morshed ◽  
...  

ABSTRACT BACKGROUND Intracranial aneurysms of the anterior communicating artery (AComA), posterior communicating artery (PComA), and the middle cerebral artery (MCA) comprise the majority of all aneurysms encountered and treated by vascular neurosurgeons. OBJECTIVE To analyze and compare outcomes between these locations using multivariable logistic regression and to assess what clinical features may differ between them. METHODS Solitary aneurysms microsurgically clipped by the senior author were included from a prospective database of patients treated between January 2010 and April 2013 at a tertiary academic medical center. Neurological status was assessed using the modified Rankin Scale (mRS). Neurological outcomes were dichotomized, with mRS scores 0-2 considered “good” and 3-6 considered “poor.” RESULTS A total of 196 patients were treated; 69 aneurysms were located at the MCA, 77 at the AComA, and 50 at the PComA. A total of 48% (97/196) of patients presented with a ruptured aneurysm and 14% (25/180) were considered large. PComA was more commonly presented as a ruptured aneurysm (64%) compared to AComA (56%) and MCA (28%) (P ≤ .001), and when ruptured, PComA aneurysms were 1.6 times more likely to experience a favorable outcome compared to MCA aneurysms (P = .01). Regression analysis revealed PComA was associated with a lower risk for poor outcomes (odds ratio [OR] 0.19, P = .01) controlling for age, presentation type, and vasospasm. CONCLUSION Patients who underwent microsurgical clipping of ruptured PComA aneurysms experienced significantly better outcomes, while those with MCA aneurysms suffered the worst. Further investigation on this topic and the potential reasons that may account for these differences is warranted.


2021 ◽  
Vol 19 (2) ◽  
pp. 56
Author(s):  
Won Ki Kim ◽  
Taeho Lee ◽  
Ae Jin Kim ◽  
Han Ro ◽  
Jae Hyun Chang ◽  
...  

Author(s):  
Radek Frič ◽  
Bård Nedregaard ◽  
Ketil Riddevold Heimdal ◽  
Clemens Weber ◽  
Bernt Johan Due-Tønnessen

AbstractWe report the case of a 3-week-old neonate who presented with massive subarachnoid and intraventricular hemorrhage from a ruptured aneurysm of the anterior communicating artery (ACommA). An attempt on endovascular treatment ended up with therapeutic closure of the parent artery. However, since further investigation revealed a disastrous supratentorial cerebral infarction as a result of the hemorrhage, active treatment was terminated and the neonate died a few days after the initial stroke. To the best of our knowledge and after reviewing available literature, this is one of only five cases of ACommA aneurysm in newborns reported to date. Bleeding from an ACommA aneurysm in a neonate thus represents an extreme clinical rarity. There are no available data comparing the efficacy and safety of microsurgical versus endovascular treatment in neonates and small infants, but the latter option may at least reduce the risk associated with open surgery and further blood loss in this age group.


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