Large Aneurysm of Azygos Anterior Cerebral Artery: Case Report.
- Author:
Yong Kil HONG
1
;
Seung Jin CHOI
;
Suck Hoon YOON
;
Chang Rak CHOI
;
Jin Un SONG
Author Information
1. Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Large aneurysm;
Azygos anterior cerebral artery;
Bifurcation of distalend;
Successful clipping
- MeSH:
Aneurysm*;
Angiography;
Anterior Cerebral Artery*;
Consciousness;
Dilatation;
Drainage;
Emergencies;
Hematoma;
Hemorrhage;
Humans;
Lower Extremity;
Male;
Middle Aged;
Muscle Spasticity;
Mutism;
Neck;
Tomography, X-Ray Computed;
Urinary Incontinence
- From:Journal of Korean Neurosurgical Society
1990;19(1):121-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of large aneurysm of azygos anterior cerebral artery(Azygos ACA) is reported. This 52-year-old male patient became unconscious suddenly on working. The CT scan demonstrated small amount of hemorrhage in the interhemispheric fissure and basal cistern and huge intraventricular hematoma with marked dilatation of all ventricles. Emergency external ventricular drainage was done and his consciousness recovered to the level of possible spontaneous eye opening. 4-vessels angiography done a month later revealed a large revealed a large fusiform aneurysm at the bifurcation of distal end of azygos ACA. Authors preferred interhemispheric approach and clipped the aneurysmal neck uneventfully. Despite the successful clipping of the aneurysm confirmed by postoperative angiography, preoperative mutism, spastic weakness of lower extremities and urinary incontinence didn't recovered. This case suggests that preoperative neurological status is no less critical to the postoperative outcome than surgical technique. This is the first case of large aneurysm at this site so far as we know.
