Anterior communicating artery aneurysm

J.Sales-Llopis

Neurosurgery Service,General University Hospital Alicante, Spain.

• A Case of a Non-giant Intracranial Aneurysm with Spontaneous Occlusion Directly Observed during Clipping Surgery
• Angiographic Occlusion After Flow Diversion of Ruptured and Unruptured Intracranial Aneurysms Using the Flow Redirection Endoluminal Device-X: A Multicenter Analysis
• Protective Effect of Resveratrol Against Intracranial Aneurysm Rupture in Mice
• Risk factors for rupture of intracranial aneurysms in patients with autoimmune diseases
• Statin versus no statin after treatment with pipeline embolization device for intracranial aneurysms: a meta-analysis
• Early experience with Target Tetra coils for treatment of small and very small ruptured intracranial aneurysms
• Flow diversion for treatment of acutely ruptured intracranial aneurysms: Comparison of complications and clinical outcomes with coil embolization
• Flow diverter with or without adjunctive coils in the treatment of large and giant intracranial aneurysms: a meta-analysis

An anterior communicating artery aneurysm is a intracranial aneurysm localized, abnormal dilation or ballooning of the anterior communicating artery.

see Anterior communicating artery aneurysm epidemiology.

see Anterior communicating artery aneurysm classification.

see Anterior communicating artery aneurysm risk factors.

see Anterior communicating artery aneurysm clinical features.

Anterior communicating artery aneurysm diagnosis.

The management of an anterior communicating artery (ACoA) aneurysm involves a multidisciplinary approach and may include medical, endovascular, or surgical interventions. The specific treatment plan depends on various factors, including the size and location of the aneurysm, the patient's overall health, and the presence of any symptoms.

see Anterior communicating artery aneurysm treatment.

see Anterior communicating artery aneurysm outcome.

see Ruptured anterior communicating artery aneurysm

see Hydrocephalus after aneurysmal subarachnoid hemorrhage

see Anterior communicating artery aneurysm case series.

Anterior communicating artery aneurysm case reports.

Microsurgical clipping of an incidental anterior communicating artery aneurysm in a multimorbid elderly patient case report and clinical reflections

A 44-year-old patient arrives at the Emergency Department brought in by the Emergency Medical Service (SAMU) following a deterioration in the level of consciousness at home. Apparently, they were found at the foot of the bed with sphincter relaxation. Their companions (not present during the examination) were able to lift them onto the bed, and SAMU was called. On assessment, the patient has a Glasgow Coma Scale (GCS) score of 13, along with hypertensive crisis, and is brought in receiving Urapidil 50 mg + 50 mg in infusion.

Vital signs:

Blood pressure: 190/98 mmHg Heart rate: 80 beats per minute Oxygen saturation (SpO2): 98% (ambient air) Neurological examination according to the Glasgow Coma Scale:

Eye opening (E): 2 Verbal response (V): 2 Motor response (M): 5 Total score: 9

Extensive subarachnoid hemorrhage distributed throughout perimesencephalic cisterns (predominantly in the chiasmatic cistern), prepontine cistern, both Sylvian fissures, and interhemispheric fissure, with a component of bifrontal parasagittal intraparenchymal hematoma with mild adjacent vasogenic edema. The hemorrhage also extends into the ventricular system (third ventricle and lateral ventricles). Findings consistent with modified Fisher grade IV subarachnoid hemorrhage.

This extension is compatible with an aneurysmal subarachnoid hemorrhage pattern.

Erasure of cerebral sulci, predominantly frontotemporal, in relation to diffuse cerebral edema.

Increased ventricular size for the patient's age.