A Surgical Case of Dissecting Aneurysm of the Anterior Cerebral Artery

Honda, Naomi; Yuge, Tatsuo; Miyagi, Jun; Shigemori, Minoru

doi:10.7887/jcns.6.634

Cited by 14 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nine previous cases of dissecting aneurysm of the ACA presented with onset of hemorrhage, but only one was associated with cerebral infarction in the affected lesion at the initial onset as in our case. 3,4,6,7,11,15,17,19,21 In our case the patient suffered rebleeding from the dissecting aneurysm 15 weeks after the first attack, and angiography confirmed progressive dissection. Dissecting aneurysms of the ACA may result in subsequent rupture at any stage after the first bleeding.…”

Section: Case Reportmentioning

confidence: 48%

Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries

Amagasaki

Yagishita²,

Yagi³

et al. 1999

Journal of Neurosurgery

View full text Add to dashboard Cite

This 47-year-old man was admitted to the hospital with disturbance of consciousness due to subarachnoid hemorrhage caused by a ruptured dissecting aneurysm of the left anterior cerebral artery (ACA). Conservative treatment resulted in improvement in the patient's consciousness; however, repeated rupture occurred during the chronic stage. Endovascular coil embolization of the parent artery was successful. Serial angiography demonstrated all stages in the development of the aneurysm. Follow-up angiography demonstrated an incidental dissecting aneurysm of the right vertebral artery. This aneurysm was also treated by endovascular embolization. No new neurological deficit appeared during or after the treatment. Multiple dissecting aneurysms are rare, especially those involving both supra- and infratentorial regions. A ruptured dissecting aneurysm of the ACA is also an uncommon vascular disorder. This case shows that rebleeding may occur, even during the chronic stage, and thus appropriate treatment for the prevention of subsequent bleeding is essential. Incidental dissecting aneurysms can be treated using the endovascular technique, but further study is necessary.

show abstract

Section: Case Reportmentioning

confidence: 48%

Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries

Amagasaki

Yagishita²,

Yagi³

et al. 1999

Journal of Neurosurgery

View full text Add to dashboard Cite

show abstract

“…6,10,19,23,31) Dissections or dissecting aneurysms involving the ACA can be divided into three types based on the affected site, the age of patients, the onset, progression, and outcome of the disease. Type I dissection usually originates at the ICA and extends to the ACA as well as to the MCA.…”

Section: Discussionmentioning

confidence: 99%

“…6,10,19,23,31) Type II dissections often caused SAH. A 26-year-old female suffered SAH but misdiagnosis of ruptured AcomA aneurysm was made.…”

Section: Discussionmentioning

confidence: 99%

“…33) All of these cases may harbor type II dissection. Alternatively, type II dissection may be clas- 30) 16/M infarction headache, congenital defect of dead nasal bleeding, the vessel wall lt hemiplegia, aphasia Scott et al (1960) 25) 29/F infarction lt hemiparesis, trauma (surgical dead lt facial nerve palsy, complication) aphasia Nedwich et al (1963) 18) 30/F infarction lt hemiparesis unknown dead Grosman et al (1980) 7) 23/M infarction dysphagia, unknown dead rt hemiparesis Adams et al (1982) 1) 75/F SAH headache unknown moderately disabled Steiner et al (1986) 26) 23/F infarction headache, congenital weakness dead lt hemiparesis, of elastic lamina semicoma Linden et al (1987) 15) 23/F infarction lt hemiplegia, coma unknown dead Kitani et al (1987) 13) 14/M infarction headache, unknown dead lt hemiplegia II Gherardi and Lee (1967) 6) 26/F SAH headache, coma unknown dead Nelson (1968) 19) 5/M infarction headache, trauma dead rt hemiparesis, aphasia Pilz (1977) 23) 22/F incidental Guillain-Barr áe dead syndrome Yamashita et al (1983) 31) 16/F incidental moyamoya disease ＋ dead trauma Honda et al (1997) 10) 48 2) 44/M infarction aphasia, trauma good rt hemiparesis recovery Sasaki et al (1991) 24) 57/M infarction headache, unknown moderately weakness of lt leg disabled Terai and Matsubara (1991) 29) 51/M infarction headache, unknown good rt hemiparesis recovery Guridi et al (1993) 8) 72/F SAH ＋ ICH headache, neck pain, arteriosclerosis moderately loss of consciousness, disabled rt hemiparesis Nomura et al (1993) 20) 37/M infarction headache, trauma good weakness of lt leg recovery …”

Section: Discussionmentioning

confidence: 99%

“…17,24) Dissections which involve the anterior cerebral artery (ACA) are extremely rare, with only five reported cases of dissections at the A 1 segment. 6,10,19,23,31) Four dissections were identified by postmortem examination and one by angiography. We report two cases of dissecting aneurysms at the A 1 segment of the ACA which were identified by angiography and magnetic resonance (MR) imaging.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dissecting Aneurysms at the A1 Segment of the Anterior Cerebral Artery. Two Case Reports.

Hirao

Okamoto

Watanabe

et al. 2001

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Two rare cases of dissections which involve the anterior cerebral artery (ACA) are reported. A 58-yearold woman presented with a ruptured dissecting aneurysm manifesting as sudden onset of severe headache and consciousness disturbance followed by aphasia, right hemiparesis, paresis of the left lower extremity, and choreoathetotic movements of the upper arms and face. Computed tomography and angiography revealed subarachnoid hemorrhage due to a dissecting aneurysm at the left A 1 segment. The dissecting aneurysm was trapped surgically on the day of onset. Her neurological deficits disappeared within a month. A 39-year-old woman experienced continuous dull headache from the day before onset, and then suffered right hemiparesis. Magnetic resonance (MR) imaging revealed cerebral infarction at the left globus pallidus. Angiography and MR imaging revealed a dissecting aneurysm at the left A 1 segment and occlusion of the left Heubner's artery. She received conservative treatment and her neurological findings were improved. Dissections or dissecting aneurysms involving the ACA can be classified into three types: Extension of a dissection to the ACA from the internal carotid artery, dissection at the A 1 segment, and dissection at the A 2 -A 4 segments. These types of dissection have distinct uniform clinical features.

show abstract

Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction

2002

View full text Add to dashboard Cite

A Surgical Case of Dissecting Aneurysm of the Anterior Cerebral Artery

Cited by 14 publications

References 11 publications

Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries

Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries

Dissecting Aneurysms at the A1 Segment of the Anterior Cerebral Artery. Two Case Reports.

Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction

Contact Info

Product

Resources

About