Successful microsurgical clipping of ruptured fusiform aneurysm of the anterior cerebral artery. Case report and review of the literature

Author:

Dzhindzhikhadze Revaz12,Polyakov Andrey1,Dreval Oleg2,Lazarev Valeriy2

Affiliation:

1. Department of Neurosurgery, Moscow Regional Scientific Research Institute,

2. Department of Neurosurgery, Russian Medical Academy for Continuing Professional Education, Moscow, Russia.

Abstract

Background: Fusiform aneurysms (FA) of the anterior cerebral artery (ACA) are found rarely. The common clinical presentation is a subarachnoid hemorrhage (SAH). Surgery is the main treatment to prevent rebleeding. Case Description: The authors present a case report of the ruptured FA of the ACA. The presented case demonstrates the successful microsurgical clipping of the fusiform ACA aneurysm. Conclusion: A1-segment FA can lead to SAH with poor prognosis. The main goal of surgical treatment is to prevent rebleeding. Direct microsurgical clipping is one of the surgical options.

Publisher

Scientific Scholar

Subject

Clinical Neurology,Surgery

Reference36 articles.

1. Ruptured fusiform aneurysm of the proximal anterior cerebral artery (A1 segment);Aoki;Neurol Med Chir (Tokyo),2007

2. Microneurosurgical management of proximal anterior cerebral artery aneurysms;Dashti;Surg Neurol,2007

3. Giant aneurysm of the proximal anterior cerebral artery;De Jesús;Surg Neurol,1996

4. Ruptured fusiform aneurysm of fenestrated A1 segment of the anterior cerebral artery. Case report and review of the literature;Evans;Neuroradiology,2006

5. Anterior cerebral artery dissecting aneurysm associated with fibromuscular dysplasia (FMD): A case report;Hatayama;No Shinkei Geka,2001

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