Anterior Interhemispheric Approach for the Surgical Treatment of Azygos Anterior Cerebral Artery Aneurysms: A Case Series

被引：0

作者：

Zavala, Pedro A. Gonzalez ^{[1
]}

Molina, Jesus E. Falcon ^{[1
]}

Guzman, Isauro Lozano ^{[1
]}

Toro, Miguel A. Abdo ^{[1
]}

Medina, Ivan Tellez ^{[1
]}

Lopez, Rabindranath Garcia ^{[2
]}

Ramirez, Zita E. Salazar ^{[1
]}

Ramirez, Christian J. Sandoval ^{[1
]}

机构：

[1] Hosp Especialidades Ctr Med La Raza, Ctr Med Nacl Siglo 21, Dept Neurosurg, Inst Mexicano Seguro Social, Mexico City, Mexico

[2] Ctr Med Amer British Cowdray ABC, Dept Neurosurg, Ctr Neurol ABC, Mexico City, Mexico

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 04期

关键词：

cerebral aneurysm surgery; anterior cerebral artery; anterior interhemispheric approach; surgical clipping; azygos anterior cerebral artery; ANATOMIC FEATURES;

D O I：

10.7759/cureus.58808

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The azygos artery is an uncommon vascular variant of the anterior cerebral artery (ACA). This anomaly is associated in a high percentage with aneurysms. Management of azygos ACA aneurysms represents a surgical challenge. We present five patients who underwent microsurgical treatment for distal azygos ACA aneurysms with complex morphology. Four patients showed subarachnoid hemorrhage (SAH) and one complained of sentinel headache. Early preoperative digital subtraction angiography (DSA) or computerized tomography angiography (CTA) was performed. All patients were treated by surgical clipping via an anterior interhemispheric approach. During follow-up, all patients had a satisfactory outcome, with postoperative angiograms showing complete resolution of aneurysms.

引用

页数：7

共 19 条

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