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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 957-960
DOI: 10.4103/1793-5482.258113
Case Report

Unilateral fenestrated A1 segment of anterior cerebral artery multiple aneurysms: Case reports and literature review

Dilshod Mamadaliev
Republican Scientific Center of Neurosurgery, Tashkent, Uzbekistan
,
Yoko Kato
1   Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Aichi
,
Sandeep Talari
2   Department of Neurosurgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh
,
Tushit Mewada
3   Department of Neurosurgery, G.B. Pant Institute of Postgraduate Medical Education and Research, New Delhi
,
Yasuhiro Yamada
1   Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Aichi
,
Yamashiro Kei
1   Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Aichi
,
Tsukasa Kawase
1   Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Aichi
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The fenestration of the cerebral arteries is infrequent anomaly mostly occurring in the posterior communicating artery, the vertebral artery, the basilar artery, and the middle cerebral artery.[[1]] We report a case of unilateral A1 fenestration associated saccular aneurysm, focusing on its features of surgical treatment.

Key-words:

A1 segment - anterior cerebral artery - arterial fenestrations

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Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Yasargil M. Operative anatomy. In: Microneurosurgery. Vol. 1. New York: Georg Thieme Verlag; 1984. p. 99-116.
  • 2 Menshawi K, Mohr JP, Gutierrez J. A Functional Perspective on the Embryology and anatomy of the cerebral blood supply. J Stroke 2015;17:144-58.
  • 3 Yamada T, Inagawa T, Takeda T. Ruptured aneurysm at the anterior cerebral artery fenestration. Case report. J Neurosurg 1982;57:826-8.
  • 4 Fawcett E, Blachford JV. The circle of Willis: An examination of 700 specimens. J Anat Physiol 1905;40(Pt 1):63.2-70.
  • 5 Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the anterior cerebral-anterior communicating recurrent artery complex. J Neurosurg 1976;45:259-72.
  • 6 Koh JS, Kim EJ, Lee SH, Bang JS. Ruptured aneurysm arising from the distal end of a proximal A1 fenestration: Case report and review of the literature. J Korean Neurosurg Soc 2009;45:43-5.
  • 7 Leyon JJ, Kaliaperumal C, Choudhari KA. Aneurysm at the fenestrated anterior cerebral artery: Surgical anatomy and management. Clin Neurol Neurosurg 2008;110:511-3.
  • 8 Kachhara R, Nair S, Gupta AK. Fenestration of the proximal anterior cerebral artery (A1) with aneurysm manifesting as subarachnoid hemorrhage – Case report. Neurol Med Chir (Tokyo) 1998;38:409-12.
  • 9 Aktüre E, Arat A, Niemann DB, Salamat MS, Baskaya MK. Bilateral A1 fenestrations: Report of two cases and literature review. Surg Neurol Int 2012;3:43.
  • 10 Sonda I, Basso LS. Fenestrated A1 segment of right anterior cerebral artery associated to duplicated anterior communicating artery. Anatomy 2015;9:42-4.
  • 11 Kwon WK, Park KJ, Park DH, Kang SH. Ruptured saccular aneurysm arising from fenestrated proximal anterior cerebral artery: Case report and literature review. J Korean Neurosurg Soc 2013;53:293-6.
  • 12 Dunker RO, Harris AB. Surgical anatomy of the proximal anterior cerebral artery. J Neurosurg 1976;44:359-67.