Ruptured small cerebral aneurysm occurring at the fenestration of the A1 portion of the anterior cerebral artery, combined with accessory middle cerebral artery branching from the crus: A case report

Author:

Kimura Seigo1,Komiyama Masaki2,Taniguchi Hirokatsu1,Wanibuchi Masahiko3

Affiliation:

1. Department of Neurosurgery, Kouzenkai Yagi Neurosurgical Hospital, Osaka, Japan

2. Department of Neuro-Intervention, Osaka City General Hospital, Osaka, Japan

3. Department of Neurosurgery, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, Japan.

Abstract

Background: Cerebral aneurysms arising from fenestration of the A1 portion of the anterior cerebral artery (ACA) (A1 fenestration) with the accessory middle cerebral artery (MCA) is rare. Herein, we report a ruptured cerebral aneurysm arising from A1 fenestration combined with the accessory MCA that was successfully treated with coil embolization. Case Description: A 51-year-old woman suddenly experienced a severe occipital headache and was admitted to our hospital. Detailed examination revealed subarachnoid hemorrhage due to a cerebral aneurysm arising from A1 fenestration combined with the accessory MCA. Hence, coil embolization was performed, and a favorable outcome was obtained. Conclusion: Coil embolization of the cerebral aneurysm arising from the A1 fenestration of the ACA combined with the accessory MCA is considered to be useful.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference15 articles.

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2. Ruptured intracranial aneurysm combined with multiple cerebral vessel anomalies; a case report;Dong;No Shinkei Geka,1991

3. Unruptured cerebral aneurysm associated with fenestration of the anterior cerebral artery successfully treated with coil embolization using an intracranial stent: A case report;Eto;No Shinkei Geka,2015

4. The circle of Willis: An examination of 700 specimens;Fawcett;J Anat Physiol,1905

5. Aneurysms of the fenestrated anterior cerebral artery. Report of two cases;Inagawa;Neurol Med Chir (Tokyo),1983

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