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De Novo Aneurysm of the Anterior Communicating Artery Presenting with Subarachnoid Hemorrhage 7 Years After Initial Cryptogenic Subarachnoid Hemorrhage: A Case Report and Review of the Literature

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Abstract

Spontaneous subarachnoid hemorrhage (SAH) is usually caused by a ruptured cerebral aneurysm. Despite the use of initial four-vessel cerebral digital subtraction angiography (DSA), 15 % of all cases remain idiopathic. According to the initial computed tomographic scan, the spontaneous SAH can be divided into a perimesencephalic group associated with a benign nature and a nonperimesencephalic group with a similar clinical course as aneurysmal SAH. We present a case of a 49-year-old man with a de novo aneurysm formation of the anterior communicating artery with SAH 7 years after initial cryptogenic nonperimesencephalic SAH. This observation suggests that in some cases, long-term angiographic studies might be justified.

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Fig. 1
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Abbreviations

ACoA:

Anterior communicating artery

CA:

Carotid artery

CT:

Computerized tomography

ICA:

Internal carotid artery

SAH:

Subarachnoid hemorrhage

DSA:

Digital subtraction angiography

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Conflict of Interest

We certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.

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Authors and Affiliations

  1. Department of Neuroradiology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany

    H. Wenz MD & J. Scharf MD

  2. Department of Neurosurgery, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany

    M.-M. al Mahdi MD, G. Ehrlich MD, P. Schmiedek MD & M. Seiz MD

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  1. H. Wenz MD
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  2. M.-M. al Mahdi MD
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  3. G. Ehrlich MD
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  4. J. Scharf MD
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  5. P. Schmiedek MD
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  6. M. Seiz MD
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Correspondence to H. Wenz MD.

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Wenz, H., al Mahdi, MM., Ehrlich, G. et al. De Novo Aneurysm of the Anterior Communicating Artery Presenting with Subarachnoid Hemorrhage 7 Years After Initial Cryptogenic Subarachnoid Hemorrhage: A Case Report and Review of the Literature. Clin Neuroradiol 25, 93–97 (2015). https://doi.org/10.1007/s00062-013-0278-y

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