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Contralateral Infarction in the Territory of the Recurrent Artery of Heubner after Anterior Communicating Artery Aneurysm Surgery Yuji HASHIMOTO 1,2 , Shuichi TSUSHIMA 1 , Takahiro KOMEICHI 1 , Jun NIWA 1 1Department of Neurosurgery, Hakodate Municipal Hospital 2Shinsapporo Neurosurgical Hospital Keyword: recurrent artery of Heubner , anterior communicating artery aneurysm , infarction , clipping surgery pp.813-817
Published Date 2008/9/10
DOI https://doi.org/10.11477/mf.1436100802
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 We report a rare case of postoperative infarction in the territory of the contralateral recurrent artery of Heubner (RAH) after surgery. A 67-year-old male was treated by the right pterional approach with clipping surgery for an unruptured anterior communicating artery aneurysm projecting inferiorly. Postoperative CT scan revealed infarctions in the left caudate head and the left putamen. In this case, the RAH probably coursed inferiorly to the A1 segment and was behind the aneurysmal dome. These infarctions were considered to result from occlusion of the left RAH because the clip blade extended too far beyond the aneurysmal neck.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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