Document Detail

Unusual location of anterior communicating artery aneurysm located on the planum sphenoidale due to long A1 segments.
MedLine Citation:
PMID:  18574330     Owner:  NLM     Status:  MEDLINE    
A 51-year-old woman presented with a rare variation in the location of the anterior communicating artery (AComA) complex associated with aneurysm manifesting as sudden onset of headache. Computed tomography (CT) revealed widespread subarachnoid hemorrhage with intracerebral hematoma and intraventricular hemorrhage. Three-dimensional (3D)-CT angiography revealed an aneurysm located at the AComA complex on the planum sphenoidale. Surgical clipping of the aneurysm through the right pterional approach was performed without complication. AComA aneurysm located on the planum sphenoidale is extremely rare, but should be recognized in the planning of surgery in the AComA region. 3D-CT angiography is very useful for understanding the relationships between aneurysms and the surrounding structures.
Masatou Kawashima; Masataka Endo; Takao Kitahara; Kazui Soma; Kiyotaka Fujii
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  48     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-24     Completed Date:  2008-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  254-6     Citation Subset:  IM    
Department of Neurosurgery, Kitasato University, School of Medicine, Sagamihara, Kanagawa, Japan.
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MeSH Terms
Anterior Cerebral Artery / abnormalities*,  pathology
Central Nervous System Vascular Malformations / complications*,  pathology
Cerebral Angiography
Cerebral Hemorrhage / etiology,  radiography
Cerebral Ventricles
Headache / etiology
Imaging, Three-Dimensional
Intracranial Aneurysm / complications*
Middle Aged
Subarachnoid Hemorrhage / etiology,  radiography
Tomography, X-Ray Computed

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