Ruptured anterior communicating artery aneurysm associated with anterior cranial fossa dural arteriovenous fistula

Kota Sato, Tomohisa Shimizu, Toru Fukuhara, Yoichiro Namba

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 77-year-old man presented with an extremely rare association of anterior cranial fossa dural arteriovenous fistula (AVF) with anterior communicating artery (ACoA) aneurysm manifesting as consciousness deterioration due to intracerebral hemorrhage in the left frontal lobe and diffuse subarachnoid hemorrhage. Angiography confirmed the association of a dural AVF fed by both ethmoidal arteries and an ACoA aneurysm. Surgery for these two lesions was performed concurrently, and the ACoA aneurysm was found to be responsible for the hemorrhage. This association seems incidental, but is clinically significant since the preoperative determination of the bleeding point is difficult.We conclude that these two lesions should be treated simultaneously, to avoid leaving the ruptured point untreated.

Original languageEnglish
Pages (from-to)40-44
Number of pages5
JournalNeurologia medico-chirurgica
Volume51
Issue number1
DOIs
Publication statusPublished - Feb 11 2011

Keywords

  • Anterior communicating artery aneurysm
  • Anterior cranial fossa
  • Dural arteriovenous fistula
  • Ethmoidal artery
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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