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Ruptured distal anterior choroidal artery aneurysm

Authors
 Jung Yong Ahn  ;  In Bo Han  ;  Chang Ki Hong  ;  Jin Yang Joo 
Citation
 JOURNAL OF CLINICAL NEUROSCIENCE, Vol.13(8) : 872-875, 2006 
Journal Title
 JOURNAL OF CLINICAL NEUROSCIENCE 
ISSN
 0967-5868 
Issue Date
2006
MeSH
Aneurysm, Ruptured/complications ; Aneurysm, Ruptured/pathology* ; Anti-Bacterial Agents/therapeutic use ; Cerebral Angiography ; Choroid Plexus/blood supply* ; Choroid Plexus/pathology* ; Fatal Outcome ; Female ; Gentamicins/therapeutic use ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/pathology* ; Middle Aged ; Penicillins/therapeutic use ; Pneumonia, Aspiration/complications ; Pneumonia, Aspiration/drug therapy ; Staphylococcal Infections/complications ; Staphylococcal Infections/drug therapy ; Staphylococcus aureus ; Subarachnoid Hemorrhage/etiology ; Tomography, X-Ray Computed ; Vancomycin/therapeutic use
Keywords
Anterior choroidal artery ; Cerebral aneurysm ; Subarachnoid haemorrhage
Abstract
Ruptured aneurysms of the distal anterior choroidal artery (AchA) are extremely rare and management is dictated by clinical presentation. This report describes a rare patient with a distal AchA aneurysm and subarachnoid and intraventricular haemorrhage. A 60-year-old woman presented with a sudden onset of severe headache and vomiting. No aneurysms could be found on initial angiograms. A repeat angiogram performed 10 days after admission demonstrated an aneurysm in a branch of the cisternal segment of the left AchA without a definite neck. Surrounding vessels showed multifocal stricture and dilatation. Microsurgical clipping was not performed because the patient died suddenly due to pulmonary failure. The aetiology of the aneurysm in this case and surgical strategy are discussed.
Full Text
http://www.sciencedirect.com/science/article/pii/S0967586806003596
DOI
10.1016/j.jocn.2005.11.033
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
Joo, Jin Yang(주진양)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109124
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