Title
A5 segment aneurysm of the anterior cerebral artery, imbedded into the body of the corpus callosum: A case report
Date Issued
01 January 2017
Access level
open access
Resource Type
journal article
Author(s)
Sharafeddin F.
Hafez A.
Lehecka M.
Raj R.
Colasanti R.
Rafiei A.
Jahromi B.
Niemelä M.
Hernesniemi J.
Helsinki University Central Hospital
Publisher(s)
Wolters Kluwer Medknow Publications
Abstract
Background: The A5 segment aneurysms of the anterior cerebral artery are rare, approximately 0.5% of all intracranial aneurysms. They are small with a wide base located in the midline, with the domes mostly projecting upward or backward. Case Description: The authors describe a unique case of A5 segment aneurysm, with the dome embedded into the body of the corpus callosum. This 41-year-old female was admitted to the neurology department for possible multiple sclerosis investigation. Computed tomography angiogram (CTA) revealed a 4-mm right-sided pericallosal artery aneurysm, with rare configuration, which was caudally projected, embedded into the body of the corpus callosum. Considering the family history, patient underwent a prophylactic ligation surgery. The postoperative CT and CTA showed no complication and successful occlusion of the aneurysm with no ischemia or hemorrhage in the corpus callosum. Conclusion: To the best of our knowledge, this is the first case of an aneurysm with this configuration. Our rare case of A5 segment aneurysm demonstrates the importance of planning of the surgery, choosing the appropriate approach, and knowing the detailed anatomy of the region, as well as the necessity of microsurgical clipping of small unruptured AdistAs.
Volume
8
Issue
1
Language
English
OCDE Knowledge area
NeurologÃa clÃnica
CirugÃa
Subjects
Scopus EID
2-s2.0-85020476907
Source
Surgical Neurology International
Sources of information:
Directorio de Producción CientÃfica
Scopus