Ruptured fusiform aneurysm of the proximal anterior cerebral artery (A1 segment).

Abstract:

:A 42-year-old man presented with a ruptured fusiform aneurysm of the proximal anterior cerebral artery (A(1) segment) manifesting as sudden onset of severe headache. Brain computed tomography revealed subarachnoid hemorrhage in the basal cisterns, and left carotid angiography demonstrated a fusiform aneurysm of the left A(1) segment. He underwent surgery via the left pterional approach. The left A(1) segment exhibited a fusiform configuration. Adequate development of the anterior communicating artery was confirmed. Trapping of the aneurysm was performed. The aneurysm was associated with atherosclerotic changes. The postoperative course was uneventful, and the patient was discharged without neurological deficits 1 month after surgery. Fusiform aneurysm of the A(1) segment is quite rare, and tends to bleed, so must be treated. The atherosclerotic origin indicates long-term follow up to identify subsequent lesions.

authors

Aoki Y,Nemoto M,Yokota K,Kano T,Goto S,Sugo N

doi

10.2176/nmc.47.351

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

351-5

issue

8

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/47.351

journal_volume

47

pub_type

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