A rare anomaly of the anterior communicating artery complex hidden by a large broad-neck aneurysm and disclosed by three-dimensional rotational angiography.


:Double fenestration of the anterior communicating artery (ACoA) complex associated with an aneurysm is a very rare finding and is usually caused by ACoA duplication and the presence of a median artery of the corpus callosum (MACC). We present a patient in whom double fenestration was not associated with ACoA duplication or even with MACC, representing therefore, a previously unreported anatomic variation. A 43 year old woman experienced sudden headache and the CT scans showed subarachnoid haemorrhage (SAH). On admission, her clinical condition was consistent with Hunt and Hess grade II. Conventional digital subtraction angiography (DSA) was performed and revealed multiple intracranial aneurysms arising from both middle cerebral arteries (MCA) and from the ACoA. Three-dimensional rotational angiography (3D-RA) disclosed a double fenestration of the ACoA complex which was missed by DSA. The patient underwent a classic pterional approach in order to achieve occlusion of both left MCA and ACoA aneurysms by surgical clipping. The post-operative period was uneventful. A rare anatomical variation characterised by a double fenestration not associated with ACoA duplication or MACC is described. The DSA images missed the double fenestration which was disclosed by 3D-RA, indicating the importance of 3D-RA in the diagnosis and surgical planning of intracranial aneurysms.


Acta Neurochir (Wien)


Acta neurochirurgica


de Oliveira JG,du Mesnil de Rochemont R,Beck J,Hermann E,Gerlach R,Raabe A,Seifert V




Has Abstract


2008-03-01 00:00:00


279-84; discussion 284










  • The arcade of Struthers: an anatomical study.

    abstract:BACKGROUND:The arcade of Struthers has been described as possible cause of compression of the ulnar nerve but several authors and our own experience have doubt cast on its existence. We, therefore, performed an anatomical study to determine whether or not the arcade of Struthers exists. METHODS:Ten arms from fresh fro...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bartels RH,Grotenhuis JA,Kauer JM

    更新日期:2003-04-01 00:00:00

  • Intra-sellar schwannoma co-existing with GH-secreting pituitary adenoma.

    abstract:BACKGROUND:We present a unique example of an intra-sellar schwannoma co-existing with a growth hormone (GH)-secreting pituitary adenoma. METHOD AND FINDINGS:The patient presented with acromegaly and magnetic resonance imaging (MRI) revealed an intra-sellar mass. The tumour was totally resected via a sub-labial trans-s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Koutourousiou M,Seretis A,Kontogeorgos G

    更新日期:2009-12-01 00:00:00

  • Nocardia asteroides primary cerebral abscess and secondary meningitis.

    abstract::A rare case of primary cerebral abscess due to Nocardia asteroides, and its surgical removal, are described. Postoperative meningitis caused by the same fungi was succesfully cured with sulphadiazine and cycloserine. The nocardial disease, its neurological complications, and therapy are reviewed. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sáenz Lope E,Crespo Guiterrez D

    更新日期:1977-01-01 00:00:00

  • Universal fluorescence module for intraoperative fluorescein angiography-a technical report.

    abstract:BACKGROUND:Even in specialized centers, suboptimal aneurysm clipping can be as high as 12%. Intraoperative fluorescence angiography with indocyanine green and, more recently, fluorescein sodium have been shown to be a good method for intraoperative flow assessment. However, the cost with the apparatus it entails limits...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Leal RTM,Fernandes RA,Escudeiro GP,Rodrigues RMC,Monteiro R,Landeiro JA

    更新日期:2019-07-01 00:00:00

  • Supraorbital subfrontal trans-laminar endoscope-assisted approach for tumors of the posterior third ventricle.

    abstract:BACKGROUND:Different surgical approaches have been developed for dealing with third ventricle lesions, all aimed at obtaining a safe removal minimizing brain manipulation. The supraorbital subfrontal trans-lamina terminalis route, commonly employed only for the anterior third ventricle, could represent, in selected cas...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Iacoangeli M,Colasanti R,Esposito D,Di Rienzo A,di Somma L,Dobran M,Gladi M,Scerrati M

    更新日期:2017-04-01 00:00:00

  • Imaging of human brain tumor tissue by near-infrared laser coherence tomography.

    abstract:INTRODUCTION:Intraoperative detection of residual tumor remains an important challenge in surgery to treat gliomas. New developments in optical techniques offer non-invasive high-resolution imaging that may integrate well into the workflow of neurosurgical operations. Using an intracranial glioma model, we have recentl...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Böhringer HJ,Lankenau E,Stellmacher F,Reusche E,Hüttmann G,Giese A

    更新日期:2009-05-01 00:00:00

  • Phase shift and correlation coefficient measurement of cerebral autoregulation during deep breathing in traumatic brain injury (TBI).

    abstract:BACKGROUND:Impairment of cerebral autoregulation is known to adversely affect outcome following traumatic brain injury (TBI). The phase shift (PS) method of cerebral autoregulation (CA) assessment describes the time lag between fluctuations in arterial blood pressure (ABP) and cerebral blood flow velocity (CBFV) in the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lewis PM,Rosenfeld JV,Diehl RR,Mehdorn HM,Lang EW

    更新日期:2008-02-01 00:00:00

  • The value of long-term clinical follow-up for cases of spontaneous carotid cavernous fistula.

    abstract::To clarify the value of clinical long-term follow-up with radiological examination, ranging from 12 to 63 months (average: 35 months), 18 consecutive patients suffering from spontaneous carotid cavernous fistula (CCF), were studied prospectively. Five aged patients without aggressive symptoms were treated conservative...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kurata A,Miyasaka Y,Kunii M,Nagai S,Ohmomo T,Morishima H,Fujii K,Kan S

    更新日期:1998-01-01 00:00:00

  • False aneurysms of the intracavernous carotid artery--report of 7 cases.

    abstract::We present 7 cases of false intracavernous carotid artery aneurysms. Four occurred after trauma and three were caused iatrogenically. Two of the latter occurred in patients with pituitary adenomas, one after transsphenoidal microsurgery and the other after yttrium [YI90] seed implantation into the sella. The third iat...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Bavinzski G,Killer M,Knosp E,Ferraz-Leite H,Gruber A,Richling B

    更新日期:1997-01-01 00:00:00

  • The management of pituitary tumours and post-operative visual deterioration.

    abstract::The indications and results of transsphenoidal surgery for pituitary adenomas are analysed. The advantages and disadvantages of Bromocriptine and radiotherapy are considered. Transsphenoidal surgery does not damage pre-existing pituitary function. It produces excellent results in micro and mesoadenomas, curing about 7...

    journal_title:Acta neurochirurgica

    pub_type: 传,历史文章,杂志文章


    authors: Adams CB

    更新日期:1988-01-01 00:00:00

  • Posterior projecting carotid-A1 junctional aneurysms.

    abstract::The authors report on two types of carotid-A(1) junctional aneurysms projecting backwards. In the two A(1)-type examples, the aneurysm originated at the posterior wall of the proximal A(1) joining the carotid termination and could be clipped using an ipsilateral pterional approach. However, in the carotid-type example...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Park J,Baik SK

    更新日期:2007-08-01 00:00:00

  • Lausanne checklist for safe stereotactic radiosurgery.

    abstract:INTRODUCTION:Stereotactic radiosurgery (SRS) is increasingly used as a minimally invasive alternative in many neurosurgical conditions, including benign and malignant tumors, vascular malformations, and functional procedures. As for any surgical procedure, strict safety guidelines and checklists are necessary to avoid ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Tuleasca C,Zeverino M,Patin D,Marguet M,Lopes NR,Vallet V,Moeckli R,Levivier M

    更新日期:2019-04-01 00:00:00

  • The definition of "Cheyne-Stokes rhythms".

    abstract::The review of the literature on Cheyne-Stokes respiratory periods reveals enormous variation of the opinions expressed. The original description concerned periodicity characterized by rhythmic changes of respiratory phases and respiratory pauses in a relation of 60 : 15 seconds. In the respiratory phase there were 30 ...

    journal_title:Acta neurochirurgica

    pub_type: 历史文章,杂志文章,评审


    authors: Lorenz R,Ito A

    更新日期:1978-01-01 00:00:00

  • Image fusion of MR images and real-time ultrasonography: evaluation of fusion accuracy combining two commercial instruments, a neuronavigation system and a ultrasound system.

    abstract:OBJECTIVE:The aim of our study was to evaluate MRI/Ultrasonography fusion accuracy depending on three ultrasonographic parameters. METHOD:An ultrasonography and MRI compatible model was created, consisting of a plastic box, which contained 3 objects. MRI scans were performed with 128 sagittal slices. The objects were ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Schlaier JR,Warnat J,Dorenbeck U,Proescholdt M,Schebesch KM,Brawanski A

    更新日期:2004-03-01 00:00:00

  • Intradiploic leptomeningeal cyst in an adult: role of percutaneous contrast injection in dural defect demonstration.

    abstract::Leptomeningeal cysts are commonly seen in children usually following trauma and associated with bulging leptomeninges at the site of fracture. Intradiploic leptomeningeal cyst is an important differential for an expansile lytic lesion in the bony calvarium especially in a patient with a previous history of trauma. Her...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Singh V,Shetty GS,Naik S,Behari S,Phadke RV

    更新日期:2016-02-01 00:00:00

  • Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma.

    abstract::Thirteen of 145 patients with post-traumatic subdural hygroma (SDHy) developed chronic subdural haematoma (CSDH) at the involved site over a period of 6 years. CSDHs were found at the site of SDHys with no history of further head injury at a mean interval of 56 days. It appeared that these 13 patients did not have any...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Park CK,Choi KH,Kim MC,Kang JK,Choi CR

    更新日期:1994-01-01 00:00:00

  • Trauma- and distress-associated mental illness symptoms in close relatives of patients with severe traumatic brain injury and high-grade subarachnoid hemorrhage.

    abstract:BACKGROUND:Close relatives (CR) of patients with severe traumatic brain injury (TBI) and high-grade subarachnoid hemorrhage (SAH) suffer extraordinary distress during the treatment: Distress may lead to persisting mental illness symptoms within the spectrum of post-traumatic stress disorder (PTSD), anxiety disorders, a...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rueckriegel SM,Baron M,Domschke K,Neuderth S,Kunze E,Kessler AF,Nickl R,Westermaier T,Ernestus RI

    更新日期:2015-09-01 00:00:00

  • Microvascular decompression of the eighth nerve in patients with disabling positional vertigo: selection criteria and operative results in 207 patients.

    abstract::Two-hundred seven patients who were operated on consecutively between January 1983 and December 1990 to relieve disabling positional vertigo (DPV) using the microvascular decompression (MVD) procedure were studied. Selection of the patients for MVD operations was based on both case history and the results of otoneurol...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Møller MB,Møller AR,Jannetta PJ,Jho HD,Sekhar LN

    更新日期:1993-01-01 00:00:00

  • Incomplete tumour control following DNA vaccination against rat gliomas expressing a model antigen.

    abstract:BACKGROUND:Vaccination against tumour-associated antigens is one approach to elicit anti-tumour responses. We investigated the effect of polynucleotide (DNA) vaccination using a model antigen (E. coli lacZ) in a syngeneic gliosarcoma model (9L). METHODS:Fisher 344 rats were vaccinated thrice by intramuscular injection...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ginzkey C,Eicker S,Marget M,Krause J,Brecht S,Westphal M,Hugo HH,Mehdorn M,Steinmann J,Hamel W

    更新日期:2013-01-01 00:00:00

  • Operative simulation of anterior clinoidectomy using a rapid prototyping model molded by a three-dimensional printer.

    abstract:BACKGROUND:As the anatomical three-dimensional (3D) positional relationship around the anterior clinoid process (ACP) is complex, experience of many surgeries is necessary to understand anterior clinoidectomy (AC). We prepared a 3D synthetic image from computed tomographic angiography (CTA) and magnetic resonance imagi...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Okonogi S,Kondo K,Harada N,Masuda H,Nemoto M,Sugo N

    更新日期:2017-09-01 00:00:00

  • Superficial radial intraneural ganglion cysts at the wrist.

    abstract::Superficial radial intraneural ganglion cysts are rare. Only nine previous cases have been described. We provide two examples with a wrist joint connection and review the literature to provide further support for the unifying articular (synovial) theory for the pathogenesis and treatment of intraneural ganglia. ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Spinner RJ,Mikami Y,Desy NM,Amrami KK,Berger RA

    更新日期:2018-12-01 00:00:00

  • Atypical and anaplastic meningiomas--does the new WHO-classification of brain tumours affect the indication for postoperative irradiation?

    abstract::We retrospectively analysed 13 patients (pts.) treated at the University of Tübingen from 1985 to 1993 to evaluate the results of radiation therapy (XRT) given as an adjuvant to totally or subtotally resected meningiomas. The overall survival was 38% at five years with a probability of relapse of 50% at this time. Rec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hoffmann W,Mühleisen H,Hess CF,Kortmann RD,Schmidt B,Grote EH,Bamberg M

    更新日期:1995-01-01 00:00:00

  • Surgical nuances of the expanded endoscopic anterior skull base craniectomy for hyperostotic meningioma resection.

    abstract:BACKGROUND:The rostral expanded endoscopic approach (EEA) to anterior cranial fossa (ACF) has several advantages over transcranial/craniofacial surgery, providing early access to the vascular supply of tumors and reducing morbidities of craniotomy especially that of brain retraction. This article presents endoscopic la...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Silveira-Bertazzo G,Manjila S,London NR Jr,Prevedello DM

    更新日期:2020-06-01 00:00:00

  • Metal plate fixation after anterior fusion of unstable fracture dislocations of the cervical spine.

    abstract::Unstable fracture dislocations due to torn ligaments, fractures of both articular processes, or detachments of entire vertebral arches from vertebral bodies still pose the problem of fixation after anterior fusion. The application of internal metal plate fixation--using the small AO (ASFI) fragment equipment--is descr...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Herrmann HD

    更新日期:1975-01-01 00:00:00

  • How I do it: side to side posterior inferior cerebellar artery – posterior inferior cerebellar artery bypass procedure.

    abstract:BACKGROUND:An intracranial in situ side to side posterior circulation procedure is performed infrequently. The scope of treatment modalities of vertebral artery-PICA aneurysms and vertebral dissections is limited due to the lack of many representations of this procedure's technical nuances. METHODS:To demonstrate the ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Dehdashti AR

    更新日期:2013-11-01 00:00:00

  • Intracranial neurinomas of the nerves of the jugular foramen. Report of 12 personal cases.

    abstract::12 patients, 10 women and 2 men, were operated on for removal of a jugular foramen neurinoma. Removal was total in 11 cases and operative mortality was 16.6%. As there are no clinical or instrumental signs that permit sure distinction between these tumours and those of the cerebellopontine angle, only a thorough radio...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Pluchino F,Crivelli G,Vaghi MA

    更新日期:1975-01-01 00:00:00

  • Gene expression profiling of meningiomas: current status after a decade of microarray-based transcriptomic studies.

    abstract:PURPOSE:This article provides a review of the transcriptomic expression profiling studies that have been performed on meningiomas so far. We discuss some future prospects and challenges ahead in the field of gene expression profiling. METHODS:We performed a systematic search in the PubMed and EMBASE databases in May 2...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Aarhus M,Lund-Johansen M,Knappskog PM

    更新日期:2011-03-01 00:00:00

  • ICP management in patients suffering from traumatic brain injury: a systematic review of randomized controlled trials.

    abstract:BACKGROUND:Severe traumatic brain injury (sTBI) is a major cause of morbidity and mortality. Intracranial pressure (ICP) monitoring and management form the cornerstone of treatment paradigms for sTBI in developed countries. We examine the available randomized controlled trial (RCT) data on the impact of ICP management ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Abraham P,Rennert RC,Gabel BC,Sack JA,Karanjia N,Warnke P,Chen CC

    更新日期:2017-12-01 00:00:00

  • Neuropathological and neurophysiological effects of interstitial white matter autologous and non-autologous protein containing solutions: further evidence for a glioma derived permeability factor.

    abstract::The feline infusion model of brain edema was used to evaluate the pathophysiological effects of 0.6 ml infusions of autologous serum protein (66%), human serum protein (66%), human glioma cyst fluid and a tissue culture medium (TCM) on the structure and function of the forebrain white matter. These infusions increased...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Whittle IR,Ironside JW,Piper IR,Miller JD

    更新日期:1993-01-01 00:00:00

  • Serpentine aneurysm of the posterior cerebral artery treated by internal maxillary artery bypass followed by parent artery occlusion: a case report and literature review.

    abstract::Serpentine aneurysms of the posterior cerebral artery (PCA) treated by the internal maxillary artery (IMA) bypass are rare. Here, the authors report the case of a 34-year-old male patient who presented with a half-year history of gradual severe headache and right-sided limb monoparesis and paresthesia lasting for 1 we...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Zhang J,Shi X,Liu F,Sun Y,Qian H,Zhou Z

    更新日期:2019-06-01 00:00:00