Dissecting aneurysms of the anterior cerebral artery and accessory middle cerebral artery. Case report

被引：29
作者：
Otawara, Y
Suzuki, M
Abe, M
Tomizuka, N
Ogawa, A
机构：
[1] Department of Neurosurgery, Iwate Medical University, Morioka
[2] Department of Neurosurgery, Iwate Medical University, Morioka 020
来源：
NEUROSURGICAL REVIEW | 1997年 / 20卷 / 02期
关键词：
accessory middle cerebral artery; anterior cerebral artery; dissecting aneurysm; subarachnoid hemorrhage;
D O I：
10.1007/BF01138201
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 66-year-old woman presented with dissecting aneurysms of the anterior cerebral artery (ACA) and accessory middle cerebral artery (MCA) manifesting as subarachnoid hemorrhage but without radiological evidence of the dissecting aneurysms. Intraoperative observation revealed that the vessel walls were dark purple in color, a typical finding of dissecting aneurysm. The abnormal A1 segment was trapped and the dissecting aneurysm of the accessory MCA was wrapped. In the case of SAH of unknown origin, dissecting aneurysm should always be kept in mind even if the angiogram does not show any abnormal finding. This is the first reported case of dissecting aneurysm of the accessory MCA.
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收藏
页码：145 / 148
页数：4
相关论文
共 26 条
[1]   INTRA-CRANICAL HEMORRHAGE PRODUCED BY SPONTANEOUS DISSECTING INTRA-CRANICAL ANEURYSM [J].
ADAMS, HP ;
ASCHENBRENER, CA ;
KASSELL, NF ;
ANSBACHER, L ;
CORNELL, SH .
ARCHIVES OF NEUROLOGY, 1982, 39 (12) :773-776
[2]   POSTTRAUMATIC DISSECTING ANEURYSM OF THE ANTERIOR CEREBRAL-ARTERY - CASE-REPORT [J].
AMAGASA, M ;
SATO, S ;
OTABE, K .
NEUROSURGERY, 1988, 23 (02) :221-225
[3]  
ENGESET A, 1967, ACTA NEUROL SCAND, VS 43, P122
[4]  
FRIEDMAN AH, 1985, NEUROSURGERY
[5]  
Gherardi G.J., 1967, JAMA-J AM MED ASSOC, V199, P187
[6]  
GROSMAN H, 1980, J NEUROSURG, V53
[7]   INTRACEREBRAL HEMORRHAGE CAUSED BY TRANSMURAL DISSECTION OF THE ANTERIOR CEREBRAL-ARTERY [J].
GURIDI, J ;
GALLEGO, J ;
MONZON, F ;
AGUILERA, F .
STROKE, 1993, 24 (09) :1400-1402
[8]   STROKE IN A 15-YEAR-OLD GIRL SECONDARY TO TERMINAL CAROTID DISSECTION [J].
HOCHBERG, FH ;
BEAN, C ;
FISHER, CM ;
ROBERSON, GH .
NEUROLOGY, 1975, 25 (08) :725-729
[9]  
Ishikawa Ryoichi, 1993, Neurological Surgery, V21, P355
[10]   DISSECTING ANEURYSM OF THE ANTERIOR CEREBRAL-ARTERY - REPORT OF 2 CASES [J].
KIDOOKA, M ;
OKADA, T ;
SONOBE, M ;
NAKAZAWA, T ;
HANDA, J .
SURGICAL NEUROLOGY, 1993, 39 (01) :53-57
123