Abstract
A 56-year-old female presented with left lower limb weakness following a 1-week history of sudden severe headache. CT scan revealed subarachnoid haemorrhage and small areas of infarction in the right anterior cerebral artery (ACA) territory. Digital subtraction angiography (DSA) revealed a very small (≤1.5 mm) anterior communicating artery aneurysm (Fig. 54.1) with severe vasospasm of anterior and middle cerebral arteries and distal internal carotid artery (Fig. 54.1a, b).
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Moret J, Pierot L, Boulin A, Castaings L, Rey A. Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils. Neuroradiology. 1996;38:800–5.
Suzuki S, Kurata A, Ohmomo T, et al. Endovascular surgery for very small ruptured intracranial aneurysms. Technical note. J Neurosurg. 2006;105:777–80.
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Gupta, V. (2019). Very Small (Less Than 2 mm) Aneurysm with Severe Vasospasm: Pretreatment Dilatation. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_54
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DOI: https://doi.org/10.1007/978-981-13-1346-2_54
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