scholarly journals A Case of a Ruptured Aneurysm at the Supracallosal Portion (A4–A5) of the Bihemispheric Anterior Cerebral Artery Treated with Endovascular Surgery

Author(s):  
Kei Uchino ◽  
Kosuke Kondo ◽  
Naoyuki Harada ◽  
Yoshinori Aoki ◽  
Yoshitaka Noguchi ◽  
...  
2021 ◽  
Vol 49 (2) ◽  
pp. 123-128
Author(s):  
Masaki IKEGAMI ◽  
Takao KOISO ◽  
Naoki HASHIMURA ◽  
Hidekazu CHIKUIE ◽  
Taichi ISHIGURO ◽  
...  

2001 ◽  
Vol 7 (1) ◽  
pp. 37-39 ◽  
Author(s):  
O. Gutiérrez ◽  
J.G.M.P. Caldas ◽  
J.P. Rabello

Arterial cerebral vasospasm in different pathological conditions other than subarachnoid haemorrhage (SAH) caused by ruptured aneurysm is uncommon. The haemodynamics-clinical consequences of such conditions makes a quick diagnosis, vital to choose the best therapeutic strategy. A 55-year-old woman presented chronic headache. Computed tomography scan revealed an image suggesting carotid aneurysm on the left which was confirmed by digital angiography in the ophthalmic segment. Programmed surgery of clipping aneurysm was carried out without complications. The patient remained without morbidity for the first 16 hours, then she developed progressive aphasia, right motor deficit and loss of consciousness. The angiography showed severe vasospasm in horizontal segments of anterior cerebral artery (A1) and middle cerebral artery (M1). Vasodilatation with topic papaverine by selective microcatheterism in A1 and M1 segments achieved clinical-radiological success in time. The patient was discharged on the seventh day, with Glasgow Coma Scale (GCS) 15/15 and slight right hemiparesis. Vasospasm pathogenesis in conditions other than SAH from ruptured aneurysm remains a scientific frontier for ongoing research. We know about the short half-life effect of papaverine and believe that the success in this particular case was accurate and definite due to the fact that the mechanism of the spasm presented no bleeding in the subarachnoid cisterns.


1992 ◽  
Vol 32 (11) ◽  
pp. 846-850 ◽  
Author(s):  
Kyoji SAKAI ◽  
Shoji ASARI ◽  
Mutsuo FUJISAWA ◽  
Ryosuke KATAGI

1979 ◽  
Vol 17 (4) ◽  
pp. 227-229 ◽  
Author(s):  
A. Kondo ◽  
T. Koyama ◽  
J. Ishikawa ◽  
K. Iwaki ◽  
T. Yamasaki

1982 ◽  
Vol 57 (6) ◽  
pp. 826-828 ◽  
Author(s):  
Tohru Yamada ◽  
Tetsuji Inagawa ◽  
Tetsuji Takeda

✓ Fenestration of the anterior cerebral artery is rare. The authors describe a case of a ruptured aneurysm arising from the proximal end of a fenestration of the anterior cerebral artery. The lesion was demonstrated by angiography and confirmed at surgery.


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