Ruptured Anterior Cerebral Artery Aneurysm at the Origin of the Accessory Middle Cerebral Artery-Case Report

被引：3
|
作者：
Wakabayashi, Yukihiro [1 ]
Hori, Yuzo [2 ]
Kondoh, Yayoi [2 ]
Asano, Tomoshige [1 ]
Yamada, Akira [1 ]
Kenai, Hiroyuki [1 ]
Yamashita, Masanori [1 ]
Nacatomi, Hirofumi [1 ]
机构：
[1] Nagatomi Neurosurg Hosp, Dept Neurosurg, Oita 8700820, Japan
[2] Nagatomi Neurosurg Hosp, Dept Radiol, Oita 8700820, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2011年 / 51卷 / 09期
关键词：
A(1) aneurysm; accessory middle cerebral artery; subarachnoid hemorrhage; three-dimensional digital subtraction angiography; anterior cerebral artery; SACCULAR ANEURYSM; SEGMENT;
D O I：
10.2176/nmc.51.645
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 36-year-old female patient was admitted to our hospital with a rare case of aneurysm at the origin of the accessory middle cerebral artery (MCA) manifesting as severe headache and vomiting. Neurological examination did not detect any abnormalities or consciousness disturbance. Computed tomography demonstrated diffuse subarachnoid hemorrhage. Magnetic resonance angiography showed an aneurysm in the horizontal portion of the left anterior cerebral artery (A(1)). Digital subtraction angiography and three-dimensional digital subtraction angiography demonstrated a saccular aneurysm originating at the junction of the left A(1), and accessory MCA. Another accessory MCA originated at the proximal portion of the left A(2) without an aneurysm. Two accessory MCAs were found on the left. Neck clipping was performed via a left pterional approach. One month after admission, she was discharged without neurological deficits.
引用
收藏
页码：645 / 648
页数：4
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