A Case of a Ruptured Aneurysm at the Supracallosal Portion (A4–A5) of the Bihemispheric Anterior Cerebral Artery Treated with Endovascular Surgery

Objective: To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4–A5) of the bihemispheric anterior cerebral artery (ACA), an ACA anomaly, and present that endovascular surgery was a good treatment even for peripheral cerebral aneurysm.Case Presentation: A 53...

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Published inJournal of Neuroendovascular Therapy Vol. 16; no. 3; pp. 147 - 151
Main Authors Uchino, Kei, Kondo, Kosuke, Harada, Naoyuki, Aoki, Yoshinori, Noguchi, Yoshitaka, Oishi, Hitoshi, Sugo, Nobuo
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society for Neuroendovascular Therapy 01.01.2022
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Abstract Objective: To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4–A5) of the bihemispheric anterior cerebral artery (ACA), an ACA anomaly, and present that endovascular surgery was a good treatment even for peripheral cerebral aneurysm.Case Presentation: A 53-year-old woman experienced a sudden onset of severe headache and vomiting. Plain CT scan revealed subarachnoid hemorrhage and hematoma in the supracallosal area. Cerebral angiography showed that the left pericallosal artery supplied blood to the bilateral parietal lobes through the bihemispheric artery. A saccular aneurysm was found at the supracallosal portion of the left bihemispheric ACA. Coil embolization of the cerebral aneurysm was performed completely.Conclusion: Several reports have demonstrated an aneurysm with bihemispheric ACA, all treated by neck clipping. In this case, endovascular treatment for intracranial peripheral cerebral aneurysms becomes possible, and treatment indications are said to expand.
AbstractList Objective: To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4–A5) of the bihemispheric anterior cerebral artery (ACA), an ACA anomaly, and present that endovascular surgery was a good treatment even for peripheral cerebral aneurysm.Case Presentation: A 53-year-old woman experienced a sudden onset of severe headache and vomiting. Plain CT scan revealed subarachnoid hemorrhage and hematoma in the supracallosal area. Cerebral angiography showed that the left pericallosal artery supplied blood to the bilateral parietal lobes through the bihemispheric artery. A saccular aneurysm was found at the supracallosal portion of the left bihemispheric ACA. Coil embolization of the cerebral aneurysm was performed completely.Conclusion: Several reports have demonstrated an aneurysm with bihemispheric ACA, all treated by neck clipping. In this case, endovascular treatment for intracranial peripheral cerebral aneurysms becomes possible, and treatment indications are said to expand.
To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4-A5) of the bihemispheric anterior cerebral artery (ACA), an ACA anomaly, and present that endovascular surgery was a good treatment even for peripheral cerebral aneurysm. A 53-year-old woman experienced a sudden onset of severe headache and vomiting. Plain CT scan revealed subarachnoid hemorrhage and hematoma in the supracallosal area. Cerebral angiography showed that the left pericallosal artery supplied blood to the bilateral parietal lobes through the bihemispheric artery. A saccular aneurysm was found at the supracallosal portion of the left bihemispheric ACA. Coil embolization of the cerebral aneurysm was performed completely. Several reports have demonstrated an aneurysm with bihemispheric ACA, all treated by neck clipping. In this case, endovascular treatment for intracranial peripheral cerebral aneurysms becomes possible, and treatment indications are said to expand.
ArticleNumber cr.2021-0026
Author Noguchi, Yoshitaka
Sugo, Nobuo
Harada, Naoyuki
Uchino, Kei
Kondo, Kosuke
Oishi, Hitoshi
Aoki, Yoshinori
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  organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
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  fullname: Harada, Naoyuki
  organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
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  organization: Department of Neurosurgery, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Kanagawa, Japan
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  organization: Department of Neurosurgery, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Kanagawa, Japan
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  fullname: Oishi, Hitoshi
  organization: Department of Neurosurgery, Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Kanagawa, Japan
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  fullname: Sugo, Nobuo
  organization: Department of Neurosurgery (Omori), School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan
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2022 The Japanese Society for Neuroendovascular Therapy.
2022 The Japanese Society for Neuroendovascular Therapy 2022
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Keywords anomaly
bihemispheric anterior cerebral artery
endovascular surgery
cerebral aneurysm
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Snippet Objective: To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4–A5) of the bihemispheric anterior cerebral artery...
To report our experience on a rare case of a ruptured aneurysm at the supracallosal portion (A4-A5) of the bihemispheric anterior cerebral artery (ACA), an ACA...
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SubjectTerms anomaly
bihemispheric anterior cerebral artery
Case Report
cerebral aneurysm
endovascular surgery
Title A Case of a Ruptured Aneurysm at the Supracallosal Portion (A4–A5) of the Bihemispheric Anterior Cerebral Artery Treated with Endovascular Surgery
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