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Japanese

Ruptured Aneurysm of Bihemispheric Anterior Cerebral Artery A1-A2 junction:A Case Report Nao SHIMOOKA 1 , Shiromaru ISHIDA 1 , Masato KAWAI 1 1Wakakusa Dai-ichi Hospital Stroke Center Keyword: aneurysm , bihemispheric , SAH , clipping pp.253-257
Published Date 2017/3/10
DOI https://doi.org/10.11477/mf.1436203488
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 We report a rare case with a ruptured aneurysm of the bihemispheric anterior cerebral artery(ACA), a rare anomaly of the ACA. A 50-year-old female experienced a sudden onset of severe posterior cervical pain. CT revealed diffuse subarachnoid hemorrhage(SAH)and intra cerebral hemorrhage of the left rectal gyrus. Cerebral angiography showed the left bihemispheric ACA and hypoplasia of the right ACA. A saccular aneurysm was indicated at the A1-A2 junction of the left bihemispheric ACA. A neck clipping was performed completely through the right transsylvian approach. There are several reports of an aneurysm with bihemispheric ACA, but all cases are distal ACA aneurysms. In this case, the aneurysm was proximal to the bihemispheric ACA and such aneurysms have not been reported.


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

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