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Fall 7: Nicht rupturiertes A.-communicans-anterior-Aneurysma

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Zerebrale Aneurysmen und Gefäßmalformationen

Zusammenfassung

Es wird auf die Häufigkeit und spezifische Anatomie von A.-communicans-anterior-Aneurysmen, ihre höhere Rupturrate auch bei kleiner Größe, die oftmals in der Angiographie nicht eindeutige Anatomie und das AComA-Syndrom eingegangen. Ebenso wird die Abwägung zwischen Operation und endovaskulärer Versorgung diskutiert.

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Literatur

  • Akyuz M, Erylmaz M, Ozdemir C, Goksu E, Ucar T, Tuncer R (2005) Effect of temporary clipping on frontal lobe functions in patients with ruptured aneurysm of the anterior communicating artery. Acta Neurol Scand 112 (5): 293–297. http://doi.org/10.1111/j.1600-0404.2005.00483.x

  • Alexander MP, Freedman M (1984) Amnesia after anterior communicating artery aneurysm rupture. Neurol 34 (6): 752–757.

    Article  CAS  Google Scholar 

  • Böttger S, Prosiegel M, Steiger H-J, Yassouridis A (1998) Neurobehavioural disturbances, rehabilitation outcome, and lesion site in patients after rupture and repair of anterior communicating artery aneurysm. J Neurol Neurosur Psych 65 (1): 93–102

    Google Scholar 

  • de Gast AN, van Rooij WJ, Sluzewski M (2008) Fenestrations of the anterior communicating artery: incidence on 3D angiography and relationship to aneurysms. Am J Neuroradiol 29 (2): 296–298. http://doi.org/10.3174/ajnr.A0807

  • Etminan N, Beseoglu K, Barrow DL, Bederson J, Brown RD, Connolly ES, et al (2014) Multidisciplinary consensus on assessment of unruptured intracranial aneurysms: proposal of an international research group. Stroke 45 (5): 1523–1530. http://doi.org/10.1161/STROKEAHA.114.004519

  • Fukuda H, Iwasaki K, Murao K, Yamagata S, Lo BWY, Macdonald RL (2014) Risk factors and consequences of unexpected trapping for ruptured anterior communicating artery aneurysms. Surg Neurol Int 5 (1): 106. http://doi.org/10.4103/2152-7806.136701

  • Greene KA, Marciano FF, Dickman CA, Coons SW, Johnson PC, Bailes JE, Spetzler RF (1995) Anterior communicating artery aneurysm paraparesis syndrome: clinical manifestations and pathologic correlates. Neurol 45 (1): 45–50

    Article  CAS  Google Scholar 

  • Guglielmi G, Viñuela F, Duckwiler G, Jahan R, Cotroneo E, Gigli R (2009) Endovascular treatment of 306 anterior communicating artery aneurysms: overall, perioperative results. J Neurosurg 110 (5): 874–879. http://doi.org/10.3171/2008.10.JNS081005

  • Hashimoto N, Kim C, Kikuchi H, Kojima M, Kang Y, Hazama F (1987) Experimental induction of cerebral aneurysms in monkeys. J Neurosurg 67 (6): 903–905. http://doi.org/10.3171/jns.1987.67.6.0903

  • Hazama F, Kataoka H, Yamada E, Kayembe K, Hashimoto N, Kojima M, Kim C (1986) Early changes of experimentally induced cerebral aneurysms in rats. Light-microscopic study. Am J Pathol 124 (3): 399–404

    CAS  PubMed  Google Scholar 

  • Kaspera W, Adzi Ski P, Larysz P, Hebda A, Ptaszkiewicz K, Kopera M, Larysz D (2014) Morphological, hemodynamic, and clinical independent risk factors for anterior communicating artery aneurysms. Stroke 45 (10): 2906–2911. http://doi.org/10.1161/STROKEAHA.114.006055

  • Kojima M, Handa H, Hashimoto N, Kim C, Hazama F (1986) Early changes of experimentally induced cerebral aneurysms in rats: scanning electron microscopic study. Stroke 17 (5): 835–841

    Article  CAS  Google Scholar 

  • Lownie SP, Drake CG, Peerless SJ, Ferguson GG, Pelz DM (2000) Clinical presentation and management of giant anterior communicating artery region aneurysms. J Neurosurg 92 (2): 267–277. http://doi.org/10.3171/jns.2000.92.2.0267

  • Meila D, Saliou G, Krings T (2015) Subcallosal artery stroke: infarction of the fornix and the genu of the corpus callosum. The importance of the anterior communicating artery complex. Case series and review of the literature. Neuroradiol 57 (1): 41–47. http://doi.org/10.1007/s00234-014-1438-8

  • Molino I, Cavaliere C, Salvatore E, Quarantelli M, Colucci L, Fasanaro AM (2014) Is anterior communicating artery syndrome related to fornix lesions? J Alzheimer's Disease 42 (Suppl 3): 199–204. http://doi.org/10.3233/JAD-132648

  • Moroi J, Hadeishi H, Suzuki A, Yasui N (2005) Morbidity and mortality from surgical treatment of unruptured cerebral aneurysms at Research Institute for Brain and Blood Vessels-Akita. Neurosurg 56 (2): 224–31, discussion 224–31

    Article  Google Scholar 

  • Mortimer AM, Steinfort B, Faulder K, Erho T, Scherman DB, Rao PJ, Harrington T (2016) Rates of local procedural-related structural injury following clipping or coiling of anterior communicating artery aneurysms. J Neurointerv Surg 8 (3): 256–64. http://doi.10.1136/neurintsurg-2014-011620

  • Perlmutter D, Rhoton AL (1976) Microsurgical anatomy of the anterior cerebral-anterior communicating-recurrent artery complex. J Neurosurg 45 (3): 259–272. http://doi.org/10.3171/jns.1976.45.3.0259

  • Proust F, Martinaud O, Gérardin E, Derrey S, Levèque S, Bioux S, et al (2009) Quality of life and brain damage after microsurgical clip occlusion or endovascular coil embolization for ruptured anterior communicating artery aneurysms: neuropsychological assessment. J Neurosurg 110 (1): 19–29. http://doi.org/10.3171/2008.3.17432

  • Rhoton AL (2002) The supratentorial arteries. Neurosurg 51 (4 Suppl): S53–120

    Google Scholar 

  • Sekhar LN, Natarajan SK, Britz GW, Ghodke B (2007) Microsurgical management of anterior communicating artery aneurysms. Neurosurg 61 (5 Suppl 2): 273–90, discussion 290–2. http://doi.org/10.1227/01.neu.0000303980.96504.d9

  • Sonobe M, Yamazaki T, Yonekura M, Kikuchi H (2010) Small unruptured intracranial aneurysm verification study: SUAVe study, Japan. Stroke 41 (9): 1969–1977. http://doi.org/10.1161/STROKEAHA.110.585059

  • UCAS Japan Investigators, Morita A, Kirino T, Hashi K, Aoki N, Fukuhara S, et al (2012) The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med 366 (26): 2474–2482. http://doi.org/10.1056/NEJMoa1113260

  • van Rooij SBT, Bechan RS, Peluso JP, Sluzewski M, van Rooij WJ (2015) Fenestrations of Intracranial Arteries. Am J Neuroradiol http://doi.org/10.3174/ajnr.A4236

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Kretschmer, T., Schmidt, T. (2017). Fall 7: Nicht rupturiertes A.-communicans-anterior-Aneurysma. In: Kretschmer, T. (eds) Zerebrale Aneurysmen und Gefäßmalformationen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50478-9_11

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  • DOI: https://doi.org/10.1007/978-3-662-50478-9_11

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