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

被引：0

作者：

Uchino, Kei ^{[1
,3
]}

Kondo, Kosuke ^{[1
]}

Harada, Naoyuki ^{[1
]}

Aoki, Yoshinori ^{[2
]}

Noguchi, Yoshitaka ^{[2
]}

Oishi, Hitoshi ^{[2
]}

Sugo, Nobuo ^{[1
]}

机构：

[1] Toho Univ, Fac Med, Sch Med, Dept Neurosurg Omori, Tokyo, Japan

[2] Saiseikai Yokohamashi Nanbu Hosp, Dept Neurosurg, Yokohama, Kanagawa, Japan

[3] Toho Univ, Fac Med, Sch Med, Dept Neurosurg Omori,Ota ku, 6-11-1 Omorinishi, Tokyo 1438541, Japan

来源：

JOURNAL OF NEUROENDOVASCULAR THERAPY | 2022年 / 16卷 / 03期

关键词：

bihemispheric anterior cerebral artery; cerebral aneurysm; endovascular surgery; anomaly; SACCULAR ANEURYSMS; ANATOMIC FEATURES;

D O I：

10.5797/jnet.cr.2021-0026

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4-A5) of the bihemispheric anterior cerebral artery (ACA), an ACA anomaly, and present that endovascular surgery was a good treatment even for peripheral cerebral aneurysm. Case Presentation : A 53 -year -old woman experienced a sudden onset of severe headache and vomiting. Plain CT scan revealed subarachnoid hemorrhage and hematoma in the supracallosal area. Cerebral angiography showed that the left pericallosal artery supplied blood to the bilateral parietal lobes through the bihemispheric artery. A saccular aneurysm was found at the supracallosal portion of the left bihemispheric ACA. Coil embolization of the cerebral aneurysm was performed completely. Conclusion: Several reports have demonstrated an aneurysm with bihemispheric ACA, all treated by neck clipping. In this case, endovascular treatment for intracranial peripheral cerebral aneurysms becomes possible, and treatment indications are said to expand.

引用

页码：147 / 151

页数：5

共 13 条

[1]

Auguste Kurtis I, 2004, Neurosurg Focus, V17, pE12

[2] UDIES ON ARTERIES OF BRAIN .2. ANTERIOR CEREBRAL ARTERY - SOME ANATOMIC FEATURES AND THEIR CLINICAL IMPLICATIONS [J].

BAPTISTA, AG .

NEUROLOGY, 1963, 13 (10) :825-&

[3] SACCULAR ANEURYSMS OF THE DISTAL ANTERIOR CEREBRAL-ARTERY AND ITS BRANCHES [J].

HERNESNIEMI, J ;

TAPANINAHO, A ;

VAPALAHTI, M ;

NISKANEN, M ;

KARI, A ;

LUUKKONEN, M .

NEUROSURGERY, 1992, 31 (06) :994-999

[4] Aneurysms of the distal anterior cerebral artery: Report of 14 cases and a review of the literature [J].

Sengupta, RP ;

Yost, AM .

SURGICAL NEUROLOGY, 1998, 50 (02) :140-140

[5]

KANEKO D, 1983, Neurological Surgery, V11, P1193

[6]

Kashiwazaki D, 2005, NEUROL SURG TOKYO, V33, P383

[7] Anatomic features of distal anterior cerebral artery aneurysms:: A detailed angiographic analysis of 101 patients [J].

Lehecka, Martin ;

Porras, Matti ;

Dashti, Reza ;

Niemela, Mika ;

Hernesniemi, Juha A. ;

Rosenwasser, Robert H. ;

Mason, Alexander ;

Barrow, Daniel L. ;

Lawton, Michael T. ;

Ture, Ugur ;

Lawton, Michael T. ;

Ture, Ugur .

NEUROSURGERY, 2008, 63 (02) :219-229

[8] Ruptured distal accessory anterior cerebral artery aneurysm: Case report [J].

Morioka, M ;

Fujioka, S ;

Itoyama, Y ;

Ushio, Y .

NEUROSURGERY, 1997, 40 (02) :399-401

[9] SACCULAR ANEURYSMS OF THE DISTAL ANTERIOR CEREBRAL-ARTERY [J].

OHNO, K ;

MONMA, S ;

SUZUKI, R ;

MASAOKA, H ;

MATSUSHIMA, Y ;

HIRAKAWA, K .

NEUROSURGERY, 1990, 27 (06) :907-913

[10] Feasibility and Efficacy of Endovascular Therapy for Ruptured Distal Anterior Cerebral Artery Aneurysms [J].

Oishi, Hidenori ;

Nonaka, Sensyu ;

Yamamoto, Munetaka ;

Arai, Hajime .

NEUROLOGIA MEDICO-CHIRURGICA, 2013, 53 (05) :304-309

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