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Ruptured fusiform aneurysm of fenestrated A1 segment of the anterior cerebral artery

Case report and review of the literature

  • Interventional Neuroradiology
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Abstract

We present a case report of a 56-year-old woman with a ruptured fusiform aneurysm of a fenestrated A1 segment of the anterior cerebral artery (ACA). Fenestrated A1 segments are rare and only a few case reports have been published of a saccular type aneurysm formation. To the best of our knowledge, there have been no documented cases of fusiform aneurysms in these segments.

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References

  1. Fawcett E, Blachford JV (1906) The circle of Willis: an examination of 700 specimens. J Anat Physiol 40:63–70

    Google Scholar 

  2. Ito J, Washiyama K, Kim CH, Ibuchi Y (1981) Fenestration of the anterior cerebral artery. Neuroradiology 21:277–280

    Article  PubMed  CAS  Google Scholar 

  3. Krayenbühl H, Yaşargil MG (1965) Pars praecommunicalis (A1). In: Die zerebrale Angiographie. Lehrbuch für Klinik und Praxis, 2nd edn. Georg Thieme Verlag, Stuttgart, pp 35–37

    Google Scholar 

  4. Friedlander RM, Ogilvy CS (1996) Aneurysmal subarachnoid hemorrhage in a patient with bilateral A1 fenestrations associated with an azygos anterior cerebral artery. Case report and literature review. J Neurosurg 84:681–684

    PubMed  CAS  Google Scholar 

  5. Ihara S, Uemura K, Tsukada A, Yanaka K, Nose T (2003) Aneurysm and fenestration of the azygos anterior cerebral artery—case report. Neurol Med Chir (Tokyo) 43:246–249

    Article  Google Scholar 

  6. Kachhara R, Nair S, Gupta AK (1998) Fenestration of the proximal anterior cerebral artery (A1) with aneurysm manifesting as subarachnoid hemorrhage—case report. Neurol Med Chir (Tokyo) 38:409–412

    CAS  Google Scholar 

  7. Wanibuchi M, Kurokawa Y, Ishiguro M, Fujishige M, Inaba K (2001) Characteristics of aneurysms arising from the horizontal portion of the anterior cerebral artery. Surg Neurol 55:148–154; discussion 154–155

    Article  PubMed  CAS  Google Scholar 

  8. Taylor R, Connolly ES Jr, Duong H (2000) Radiographic evidence and surgical confirmation of a saccular aneurysm on a hypoplastic duplicated A1 segment of the anterior cerebral artery: case report. Neurosurgery 46:482–484

    Article  PubMed  CAS  Google Scholar 

  9. Suzuki M, Onuma T, Sakurai Y, Mizoi K, Ogawa A, Yoshimoto T (1992) Aneurysms arising from the proximal (A1) segment of the anterior cerebral artery. A study of 38 cases. J Neurosurg 76:455–458

    PubMed  CAS  Google Scholar 

  10. Zhang QJ, Kobayashi S, Gibo H, Hongo K (1994) Vertebrobasilar junction fenestration associated with dissecting aneurysm of intracranial vertebral artery. Stroke 25:1273–1275

    PubMed  CAS  Google Scholar 

  11. Maurer J, Maurer E, Perneczky A (1991) Surgically verified variations in the A1 segment of the anterior cerebral artery. Report of two cases. J Neurosurg 75:950–953

    Article  PubMed  CAS  Google Scholar 

  12. Bollar A, Martinez R, Gelabert M, Garcia A (1988) Anomalous origin of the anterior cerebral artery associated with aneurysm—embryological considerations. Neuroradiology 30:86

    Article  PubMed  CAS  Google Scholar 

  13. Ladzinski P, Maliszewski M, Majchrzak H (1997) The accessory anterior cerebral artery: case report and anatomic analysis of vascular anomaly. Surg Neurol 48:171–174

    Article  PubMed  CAS  Google Scholar 

  14. Padget DH (1948) The development of the cranial arteries in the human embryo. Contrib Embryol 32:205–262

    Google Scholar 

  15. Vučetić RR (1998) Segmental duplication of the fetal anterior cerebral artery. J Anat 192:431–434

    Article  PubMed  Google Scholar 

  16. Aydin IH, Takci E, Kadioglu HH, Tuzun Y, Kayaoglu CR, Barlas E (1997) Vascular variations associated with anterior communicating artery aneurysms—an intraoperative study. Minim Invasive Neurosurg 40:17–21

    PubMed  CAS  Google Scholar 

  17. Hong SK (1997) Ruptured proximal anterior cerebral artery (A1) aneurysm located at an anomalous branching of the fronto-orbital artery—a case report. J Korean Med Sci 12:576–580

    PubMed  CAS  Google Scholar 

  18. Sugita S, Yuge T, Miyagi J, Fujimura N, Shigemori M (1995) Giant aneurysm at the origin of the accessory middle cerebral artery. Surg Neurol 44:128–130

    Article  PubMed  CAS  Google Scholar 

  19. Yaşargil MG (1984) Anterior cerebral and anterior communicating aneurysms. In: Microsurgery II. Georg Thieme Verlag, Stuttgart, pp 165–231

    Google Scholar 

  20. Kassell NF, Torner JC (1983) Size of intracranial aneurysms. Neurosurgery 12:291–297

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Neuroradiology, Radcliffe Infirmary, Woodstock Road, OX2 6HE, Oxford, UK

    Amlyn L. Evans, Rufus A. Corkill & Jason D. Wenderoth

  2. Department of Neuroradiology, Royal Hallamshire Hospital, S10 2JF, Sheffield, UK

    Amlyn L. Evans

Authors
  1. Amlyn L. Evans
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  2. Rufus A. Corkill
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  3. Jason D. Wenderoth
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Correspondence to Amlyn L. Evans.

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None of the authors has been sponsored or supported financially by any commercial organization in the development of this paper

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Evans, A.L., Corkill, R.A. & Wenderoth, J.D. Ruptured fusiform aneurysm of fenestrated A1 segment of the anterior cerebral artery. Neuroradiology 48, 196–199 (2006). https://doi.org/10.1007/s00234-005-0031-6

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  • DOI: https://doi.org/10.1007/s00234-005-0031-6

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