Ruptured aneurysm originating from an infundibular dilatation of the posterior communicating artery associated with a hyperplastic anterior choroidal artery: A case report

被引:0
作者
Kimura, Ryota [1 ,3 ]
Nakagawa, Ichiro [2 ]
Kawai, Hisashi [1 ]
Okumura, Yoshinari [1 ]
机构
[1] Seikeikai Gen Hosp, Dept Neurosurg, Osaka, Japan
[2] Nara Med Univ, Dept Neurosurg, Kashihara, Nara, Japan
[3] Seikeikai Gen Hosp, Dept Neurosurg, 1-1-1 Minami Yasui Cho, Sakai, Osaka 5900064, Japan
来源
INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT | 2024年 / 36卷
关键词
Coil embolization; Hyperplastic anterior choroidal artery; Infundibular dilatation of the posterior; communicating artery;
D O I
10.1016/j.inat.2023.101874
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: A hyperplastic anterior choroidal artery (AChA) resulting from incomplete distal annexation between the primitive AChoA and the posterior cerebral artery, increases the risk of cerebral aneurysms at the branching site of the AChA and other distant locations. It has also been reported that infundibular dilatation (IFD) rarely progresses into a saccular aneurysm with a risk of rupture.Case report: A 59-year-old man presented with sudden onset of headache and vomiting due to the rupture of an aneurysm originating from an IFD of the posterior communicating artery (PcomA) associated with a hyperplastic AChA. The aneurysm was successfully treated using coil embolization.Conclusion: To the best of our knowledge, this is the first reported case of a ruptured aneurysm originating from an IFD of the PcomA associated with a hyperplastic AChA, accompanied by a review of previous case reports. Neurosurgeons should be aware of this anomaly to prevent critical events.
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