Journal of Korean Neurosurgical Society

  • 제67권6호
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  • Pages.675-681
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  • 2024
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Successive Development and Rupture of Blister-Like Anterior Communicating Artery Aneurysms at Mirror Locations

  • Myungsoo Kim (Department of Neurosurgery, School of Medicine, Kyungpook National University) ;
  • Jaechan Park (Department of Neurosurgery, School of Medicine, Kyungpook National University)
  • 투고 : 2024.03.21
  • 심사 : 2024.05.11
  • 발행 : 2024.11.01
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초록

This is the first report of the successive development and rupture of blister-like anterior communicating artery (ACoA) aneurysms at mirror locations with a short interval. A 49-year-old man presented with an angiogram-negative subarachnoid hemorrhage with significant basal frontal interhemispheric blood. Surgical exploration revealed a blister-like aneurysm on the left side of the superior wall of the ACoA, which was treated using a microsuturing technique. On the 18th day after the initial subarachnoid hemorrhage, the second operation due to another angiogram-negative hemorrhage revealed a de novo blister-like aneurysm with a small blood clot on the posterosuperior wall of the ACoA close to the right A1/A2 junction. The rupture point and ACoA on the right side were occluded using an aneurysm clip. Follow-up digital subtraction angiogram at 4 years and computed tomography angiogram at 14 years after the surgery showed no recurrence or associated abnormality.

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참고문헌

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