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A CASE OF AGENESIS OF THE CORPUS CALLOSUM ACCOMPANIED WITH A RUPTURED AZYGOS ANTERIOR CEREBRAL ARTERY ANEURYSM AND A LIPOMA:A CASE REPORT Nobuyuki Nakamura 1,3 , Akira Ogawa 1,3 , Takamasa Kayama 1,3 , Yoshiharu Sakurai 1,3 , Takashi Yoshimoto 2 , Jiro Suzuki 2 1Stroke Center, Sendai National Hospital 2Division of Neurosurgery, Institute of Brain Diseases, Tohoku University School of Medicine 3Present Address : Division of Neurosurgery, Institute of Brain Diseases, Tohoku University School of Medicine pp.701-705
Published Date 1986/7/1
DOI https://doi.org/10.11477/mf.1406205747
  • Abstract
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A 53-year-old woman suffered from sudden onset of severe headache on February 28 in 1982. She was admitted to our hospital soon after onset. On admission, she had a severe headache and nausea, and her consciousness was drowsy.

CT scan showed a marked subarachnoid hemor-rhage with intracerebral and intraventricular he-matoma, a separation of the lateral ventricles with enlargement of posterior horns, and deformity of anterior horn. By these findings, the patient was diagnosed as an agenesis of the corpus callosum with subarachnoid hemorrhage. Left carotid ar-teriogram revealed an azygos anterior cerebelar artery and an aneurysm at the terminal portion of this artery.

Surgery was performed on the 24th day after subarachnoid hemorrhage. Operative finding re-vealed a little finger's head-sized tumor was situa-ted over the right frontobasal artery. An azygos anterior cerebral artery aneurysm was clipped and tumor was removed. Pathological diagnosis of the tumor was a lipoma. Namely, she had an agenesis of the corpus callosum, an azygos anterior cerebral artery, an aneurysm and a lipoma.

There are some reports in which an agenesis of the corpus callosum is accompanied with a lipoma and an azygos anterior cerebral artery is accompanied with an aneurysm. But a case of agenesis of the corpus callosum with an azygos anterior cerebral artery was rarely reported.

So this rare case with these anomalies was reported and pathogenesis about the development of 4 anomalies was also discussed.


Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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