Abstract:
:A 51-year-old woman presented with a rare variation in the location of the anterior communicating artery (AComA) complex associated with aneurysm manifesting as sudden onset of headache. Computed tomography (CT) revealed widespread subarachnoid hemorrhage with intracerebral hematoma and intraventricular hemorrhage. Three-dimensional (3D)-CT angiography revealed an aneurysm located at the AComA complex on the planum sphenoidale. Surgical clipping of the aneurysm through the right pterional approach was performed without complication. AComA aneurysm located on the planum sphenoidale is extremely rare, but should be recognized in the planning of surgery in the AComA region. 3D-CT angiography is very useful for understanding the relationships between aneurysms and the surrounding structures.
journal_name
Neurol Med Chir (Tokyo)journal_title
Neurologia medico-chirurgicaauthors
Kawashima M,Endo M,Kitahara T,Soma K,Fujii Kdoi
10.2176/nmc.48.254subject
Has Abstractpub_date
2008-06-01 00:00:00pages
254-6issue
6eissn
0470-8105issn
1349-8029pii
JST.JSTAGE/nmc/48.254journal_volume
48pub_type
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