Journal of Korean Neurosurgical Society

  • 제45권1호
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  • Pages.43-45
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Ruptured Aneurysm Arising from the Distal End of a Proximal A1 Fenestration : Case Report and Review of the Literature

  • Koh, Jun-Seok (Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School of Medicine) ;
  • Kim, Eui-Jong (Department of Radiology, Medical Center of Kyung Hee University, Kyung Hee University School of Medicine) ;
  • Lee, Seung-Hwan (Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School of Medicine) ;
  • Bang, Jae-Seung (Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital, Kyung Hee University School of Medicine)
  • 발행 : 2009.01.28
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초록

A 75-year-old female presented with subarachnoid hemorrhage. Angiography revealed a partial duplication (fenestration) in the proximal $A_1$ segment and a ruptured aneurysm at the distal end of $A_1$ fenestration. This congenital anomaly accompanying an aneurysm was associated with duplicated ipsilateral middle cerebral artery (MCA). Congenital defect of the arterial wall and hemodynamic factors at the fenestrated $A_1$ are considered to play a significant role in the development of this aneurysm. The present case is peculiar because not only the ruptured $A_1$ aneurysm was related with the anterior and middle cerebral artery duplication but also the location of $A_1$ fenestration and the origin of $A_1$ aneurysm in a fenestration are quite unusual.

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참고문헌

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피인용 문헌

  1. Ruptured peripheral aneurysms in a collateral pathway associated with stenosis of a major cerebral artery: Report of two cases vol.2, pp.None, 2009, https://doi.org/10.4103/2152-7806.82247
  2. Duplication of the internal carotid artery presenting with severe atherosclerotic stenosis vol.18, pp.7, 2009, https://doi.org/10.1016/j.jocn.2010.11.026
  3. Endovascular Repair of Ruptured Aneurysm Arising From Fenestration of the Horizontal Segment of the Anterior Cerebral Artery : -Case Report- vol.52, pp.12, 2009, https://doi.org/10.2176/nmc.52.924
  4. Bilateral A1 fenestrations: Report of two cases and literature review vol.3, pp.None, 2009, https://doi.org/10.4103/2152-7806.94928
  5. Cerebral Arterial Fenestrations vol.20, pp.3, 2009, https://doi.org/10.15274/inr-2014-10027
  6. Unilateral fenestrated A1 segment of anterior cerebral artery multiple aneurysms: Case reports and literature review vol.14, pp.3, 2009, https://doi.org/10.4103/1793-5482.258113