A Giant Thrombosed Aneurysm of the Anterior Communicating Artery which Developed 18 Years after Clipping : A Case Report Tomomi IWASHITA 1 , Yuichiro TANAKA 1 , Junichi KOYAMA 1 , Satoshi KOBAYASHI 2 , Kazuhiro HONGO 1 , Shigeaki KORAYASHI 1 1Department of Neurosurgery, Shinshu University School of Medicine 2Kobayashi Neurosurgical Hospital Keyword: anterior communicating artery , giant thrombosed aneurysm , regrown aneurysm , subarachnoid hemorrhage , ultrasonic aspirator pp.427-431
Published Date 2001/5/10
DOI https://doi.org/10.11477/mf.1436902040
  • Abstract
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A 64-year-old man, who had undergone clipping surgery 18 years before for a ruptured anterior com- municating artery (ACoA) aneurysm, presented with mild aphasia. A computerized tomography (CT) scan showed a subcortical hemorrhage in the left temporal lobe, and a high density large mass at the ACoA. Neuro-imaging study revealed a giant thrombosed ACoA aneurysm. Thrombectomy and neck clipping were successfully performed, using the interhemispheric approach. The patient was discharged without additional neurological deficits. A long-term follow-up study is thus considered necessary after neck clip- ping of a ruptured aneurysm.

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