Successive Development and Rupture of Blister-Like Anterior Communicating Artery Aneurysms at Mirror Locations.

IF 1.4 4区 医学 Q4 CLINICAL NEUROLOGY
Journal of Korean Neurosurgical Society Pub Date : 2024-11-01 Epub Date: 2024-05-16 DOI:10.3340/jkns.2024.0069
Myungsoo Kim, Jaechan Park
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引用次数: 0

Abstract

This is the first report of the successive development and rupture of blister-like anterior communicating artery (ACoA) aneurysms at mirror locations with a short interval. A 49-year-old man presented with an angiogram-negative subarachnoid hemorrhage with significant basal frontal interhemispheric blood. Surgical exploration revealed a blister-like aneurysm on the left side of the superior wall of the ACoA, which was treated using a microsuturing technique. On the 18th day after the initial subarachnoid hemorrhage, the second operation due to another angiogram-negative hemorrhage revealed a de novo blister-like aneurysm with a small blood clot on the posterosuperior wall of the ACoA close to the right A1/A2 junction. The rupture point and ACoA on the right side were occluded using an aneurysm clip. Follow-up digital subtraction angiogram at 4 years and computed tomography angiogram at 14 years after the surgery showed no recurrence or associated abnormality.

镜像位置的水泡状前沟通动脉动脉瘤相继发展和破裂。
这是首例关于镜像位置的水泡状前沟通动脉(ACoA)动脉瘤相继发展和破裂且间隔时间很短的报告。一名 49 岁男子因血管造影阴性的蛛网膜下腔出血就诊,伴有明显的额叶基底半球间充血。手术探查发现 ACoA 上壁左侧有一个水泡样动脉瘤,采用显微缝合技术对其进行了治疗。在首次蛛网膜下腔出血后的第 18 天,因另一次血管造影阴性出血而进行的第二次手术发现,在靠近右侧 A1/A2 交界处的 ACoA 后上壁上有一个新的水泡样动脉瘤和一个小血块。使用动脉瘤夹闭塞了破裂点和右侧的 ACoA。术后4年的随访数字减影血管造影(DSA)和14年的计算机断层扫描血管造影(CTA)均显示没有复发或相关异常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
109
审稿时长
3-8 weeks
期刊介绍: The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.
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