Endovascular treatment of distal anterior cerebral artery aneurysm presenting with acute subdural hematoma
Autor: | I. Martinov, N. Velinov, N. Alioski, T. Sakelarova, N. Gabrovsky, P. Ilkov, M. Petrov |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage RD1-811 medicine.medical_treatment Distal anterior cerebral artery aneurysms Aneurysm medicine.artery medicine Anterior cerebral artery Anterior Cerebral Artery Aneurysm cardiovascular diseases Endovascular treatment RC346-429 Intracerebral hemorrhage Endovascular coiling business.industry medicine.disease Surgery Anterior communicating artery cardiovascular system Neurology (clinical) coiling of DACA aneurysms Neurology. Diseases of the nervous system Aneurysmal acute subdural hematomas business |
Zdroj: | Interdisciplinary Neurosurgery, Vol 26, Iss, Pp 101332-(2021) |
ISSN: | 2214-7519 |
Popis: | Distal anterior cerebral artery /DACA/ aneurysms are located distally from the anterior communicating artery /AComA/ and account for less than 10% of all intracranial aneurysms, according to large cohort studies. Most commonly they present with subarachnoid hemorrhage /SAH/ and frontal intracerebral hemorrhage /ICH/, located preferentially close to the interhemispheric fissure. Only 2–5% of the intracranial aneurysms present with acute subdural hematomas /ASDH/. A few cases have been published where the sole presenting symptom of ruptured DACA aneurysm was ASDH. In all of those cases the therapeutic management consisted of ASDH evacuation and aneurysm clipping. However, we would like to present a clinical case of a patient with ruptured DACA aneurysm with ASDH that underwent endovascular coiling in the acute setting and operative treatment of the SDH later on with excellent clinical outcome. |
Databáze: | OpenAIRE |
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