Successful microsurgical clipping of ruptured fusiform aneurysm of the anterior cerebral artery. Case report and review of the literature

Revaz Dzhindzhikhadze; Andrey Polyakov; Oleg Dreval; Valeriy Lazarev

doi:10.25259/SNI_727_2020

Successful microsurgical clipping of ruptured fusiform aneurysm of the anterior cerebral artery. Case report and review of the literature

Surg Neurol Int. 2020 Dec 16:11:445. doi: 10.25259/SNI_727_2020. eCollection 2020.

Authors

Revaz Dzhindzhikhadze^{1

2}, Andrey Polyakov¹, Oleg Dreval², Valeriy Lazarev²

Affiliations

¹ Department of Neurosurgery, Moscow Regional Scientific Research Institute.
² Department of Neurosurgery, Russian Medical Academy for Continuing Professional Education, Moscow, Russia.

Abstract

Background: Fusiform aneurysms (FA) of the anterior cerebral artery (ACA) are found rarely. The common clinical presentation is a subarachnoid hemorrhage (SAH). Surgery is the main treatment to prevent rebleeding.

Case description: The authors present a case report of the ruptured FA of the ACA. The presented case demonstrates the successful microsurgical clipping of the fusiform ACA aneurysm.

Conclusion: A1-segment FA can lead to SAH with poor prognosis. The main goal of surgical treatment is to prevent rebleeding. Direct microsurgical clipping is one of the surgical options.

Keywords: Anterior cerebral artery; Fusiform aneurysm; Subarachnoid hemorrhage.

Publication types

Case Reports