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Kosyr’kova A.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Éliava Sh.Sh.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Giant thrombosed aneurysm of the pericallosal artery: clinical observation, literature review

Authors:

Kosyr’kova A.V., Gavrilov A.G., Éliava Sh.Sh., Kravchuk A.D.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2019;83(4): 74‑81

DOI: 10.17116/neiro20198304174

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Table of contents

GIANT THROMBOSED ANEURYSM OF THE PERICALLOSAL ARTERY: CLINICAL OBSERVATION, LITERATURE REVIEW
GIANT THROMBOSED ANEURYSM OF THE PERICALLOSAL ARTERY: CLINICAL OBSERVATION, LITERATURE REVIEW

To cite this article:

Kosyr’kova AV, Gavrilov AG, Éliava ShSh, Kravchuk AD. Giant thrombosed aneurysm of the pericallosal artery: clinical observation, literature review. Burdenko's Journal of Neurosurgery. 2019;83(4):74‑81. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20198304174

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
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Abstract:

Are characterized by  Distal giant aneurysms of the anterior cerebral artery are an extremely rare pathology. There are less than 40 cases of this disease described in literature. Objective — the aim of the article is to present the clinical observation of a successfully treated giant aneurysm of the pericallosal artery in a 58-year-old man, and also analyze the publications on distal cerebral aneurysms. Material and methods. The data of a patient hospitalized with a suspected tumor of the left brain hemisphere spreading to the left lateral ventricle is presented. Repeated MRI suggests a giant subtotal thrombotic aneurysm of the left perical artery, which was confirmed by SCT angiography. The patient underwent aneurysm treping-cliping with dissection of the aneurysm sac. In the analysis of the literature it was shown that the frequency of perical artery aneurysms varies from 5.3—6.0%, and giant aneurysms of this localization are extremely rare and occur in 1—4.5% of all perical artery aneurysms. Unlike distal anterior cerebral artery aneurysms of small and medium size, giant aneurysms are characterized by pseudotumorrhagic symptoms, which causes diagnostic difficulties. Conclusion. It is necessary to remember about the diagnostic difficulties caused by the pseudotumorrhosis of the giant aneurysms of the pericallosal artery and the frequent negative angiography data due to total thrombosis of the aneurysmal sac. The gold standard is microsurgical clipping with excision of the aneurysmal sac. The prognosis for this group of patients is favorable.

Keywords:

distal aneurysms of the anterior cerebral artery
giant aneurysms of pericallosal artery
giant thrombosed aneurysms

Authors:

Kosyr’kova A.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Gavrilov A.G.

N.N. Burdenko Institute of Neurosurgery, Moscow, Russia

Éliava Sh.Sh.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Kravchuk A.D.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

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References:

  1. Rodríguez-Hernández A, Zador Z, Rodríguez-Mena R, Lawton MT. Distal aneurysms of intracranial arteries application of numerical nomenclature, predilection for cerebellar arteries, and results of surgical management. World Neurosurg. 2013 Jul-Aug;80(1-2):103-112. https://doi.org/10.1016/j.wneu.2012.09.010
  2. De Sousa AA, Dantas FL, de Cardoso GT, Costa BS. Distal anterior cerebral artery aneurysms. Surg Neurol. 1999 Aug;52(2):128-135.
  3. Lehecka M, Porras M, Dashti R, Niemelä M, Hernesniemi JA. Anatomic features of distal anterior cerebral artery aneurysms: a detailed angiographic analysis of 101 patients. Neurosurgery. 2008 Aug;63(2):219-228; discussion 228-229. https://doi.org/10.1227/01.NEU.0000310695.44670.32
  4. Steven DA, Lownie SP, Ferguson GG. Aneurysms of the distal anterior cerebral artery Results in 59 consecutively managed patients. Neurosurgery. 2007 Feb;60(2):227-233. https://doi.org/10.1227/01.NEU.0000249267.33945.E7
  5. Lehecka M, Dashti R, Hernesniemi J, Niemelä M, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen J. Microneurosurgical management of aneurysms at A3 segment of anterior cerebral artery. Surg Neurol. 2008 Aug;70(2):135-151; discussion 152. https://doi.org/10.1016/j.surneu.2008.03.019
  6. Kawashima M, Matsushima T, Sasaki T. Surgical strategy for distal anterior cerebral artery aneurysms microsurgical anatomy. J Neurosurg. 2003 Sep;99(3):517-525. https://doi.org/10.3171/jns.2003.99.3.0517
  7. Yamazaki T, Sonobe M, Kato N, Kasuya H, Ikeda G, Nakamura K, Ito Y, Tsuruta W, Nakai Y, Matsumura A. Endovascular coiling as the first treatment strategy for ruptured pericallosal artery aneurysms results, complications, and follow up. Neurol Med Chir (Tokyo). 2013;53(6):409-417. https://doi.org/10.2176/nmc.53.409
  8. Ko JK, Kim HS, Choi HJ, Lee TH, Yun EY, Choi CH. Endovascular Treatment of Ruptured Pericallosal Artery Aneurysms. J Korean Neurosurg Soc. 2015 Sep;58(3):197-204. https://doi.org/10.3340/jkns.2015.58.3.197
  9. Hayashi M, Kobayashi H, Kawano H, Handa Y, Kabuto M. Giant aneurysm of an azygos anterior cerebral artery report of two cases and review of the literature. Neurosurgery. 1985 Aug;17(2):341-344.
  10. Moon HS, Kim TS, Joo SP. Surgical Treatment of Giant Serpentine Aneurysm of A2-A3 Segment Distal Anterior Cerebral Artery Technical Case Report. J Korean Neurosurg Soc. 2012 Nov;52(5):501-504. https://doi.org/10.3340/jkns.2012.52.5.501
  11. Smith RR, Parent AD. End-to-end anastomosis of the anterior cerebral artery after excision of a giant aneurysm: Case report. J Neurosurg. 1982 Apr;56(4):577-580. https://doi.org/10.3171/jns.1982.56.4.0577
  12. Senbokuya N, Kanemaru K, Kinouchi H, Horikoshi T. Giant Serpentine Aneurysm of the Distal Anterior Cerebral Artery. J Stroke Cerebrovasc Dis. 2012 Nov;21(8):910.e7-e11. https://doi.org/10.1016/j.jstrokecerebrovasdis.2011.10.019
  13. Van Rooij WJ, Sluzewski M, Beute GN. Endovascular Treatment of Giant Serpentine Aneurysms. AJNR Am J Neuroradiol. 2008 Aug;29(7):1418-1419. https://doi.org/10.3174/ajnr.A1071
  14. Hashizume K, Nukui H, Horikoshi T, Kaneko M, Fukamachi A. Giant Aneurysm of the Azygos Anterior Cerebral Artery Associated with Acute Subdural Hematoma. Neurol Med Chir (Tokyo). 1992 Aug;32(9):693-697. https://doi.org/10.2176/nmc.32.693
  15. Hayashi M, Kobayashi H, Kawano H, Handa Y, Kabuto M. Giant aneurysm of an azygos anterior cerebral artery report of two cases and review of the literature. Neurosurgery. 1985 Aug;17(2):341-344. https://doi.org/10.1227/00006123-198508000-00020
  16. Topsakal C, Ozveren MF, Erol FS, Cihangiroglu M, Cetin H. Giant aneurysm of the azygos pericallosal artery case report and review of the literature. Surg Neurol. 2003 Dec;60(6):524-533.
  17. Baldawa S, Katikar D, Marda S. Giant saccular distal azygos artery aneurysm: Report of a case and review of literature. Asian J Neurosurg. 2016 Apr-Jun;11(2):175. https://doi.org/10.4103/1793-5482.175621
  18. Yoneda H, Suzuki M, Ishihara H, Koizumi H, Nomura S, Fujii M. A case of thrombosed giant aneurysm of the azygos anterior cerebral artery: clipping under monitoring of motor evoked potentials of the lower extremities. Neurol Med Chir (Tokyo). 2014;54(3):205-210. https://doi.org/10.2176/nmc.cr2012-0343
  19. Kanemoto Y, Tanaka Y, Nonaka M, Hironaka Y. Giant aneurysm of the azygos anterior cerebral artery — case report. Neurol Med Chir (Tokyo). 2000 Sep;40(9):472-475. https://doi.org/10.2176/nmc.40.472
  20. Yamagami T, Handa H, Hashimoto N, Nagata H, Watanabe H. Giant aneurysm of the azygos anterior cerebral artery. Nihon Geka Hokan. 1986 Nov 1;55(6):777-782.
  21. Mishima K, Watanabe T, Sasaki T, Saito I, Takakura K. An infected partially thrombosed giant aneurysm of the azygos anterior cerebral artery. No Shinkei Geka. 1990 May;18(5):475-481.
  22. Shiokawa K, Tanikawa T, Satoh K, Kawamata T, Kubo O, Kagawa M, Takakura K, Sentoh S. Two cases of giant aneurysms arising from the distal segment of the anterior cerebral circulation. No Shinkei Geka. 1993 May;21(5):467-472.
  23. Ibrahim TF, Hafez A, Andrade-Barazarte H, Raj R, Niemela M, Lehto H, Numminen J, Jarvelainen J, Hernesniemi J. De novo giant A2 aneurysm following anterior communicating artery occlusion. Surg Neurol Int. 2015 Oct 23;6(Suppl 21):S560-S565. https://doi.org/10.4103/2152-7806.168074
  24. Preul M, Tampieri D, Leblanc R. Giant Aneurysm of the Distal Anterior Cerebral Artery: Associated with an Anterior Communicating Artery Aneurysm and a Dural Arteriovenous Fistula. Surg Neurol. 1992 Nov;38(5):347-352.
  25. O’Neill M, Hope T, Thomson G. Giant intracranial aneurysms Diagnosis with special reference to computerized tomography. Clin Radiol. 1980 Jan;31(1):27-39.
  26. Shimizu K, Tani S, Imamura H, Sakai N. Test occlusion under monitoring of motor-evoked potentials for a giant distal anterior cerebral artery aneurysm: letter to the editor. Acta Neurochir (Wien). 2015 Nov;157(11):1841-1842. https://doi.org/10.1007/s00701-015-2570-x
  27. Park DH, Chung YG, Shin IY, Lee JB, Suh JK, Lee HK. Thrombosed giant aneurysm of the pericallosal artery with inconclusive findings of multiple neuroimaging studies Case report. Neurol Med Chir (Tokyo). 2008 Jan;48(1):26-29. https://doi.org/10.2176/nmc.48.26
  28. Nitta T, Nakajima K, Maeda M, Ishii S. Completely thrombosed giant aneurysm of the pericallosal artery Case report. J Comput Tomogr. 1987 Apr;11(2):140-143.
  29. Türe U, Hiçdönmez T, Elmaci I, Peker S. Giant pericallosal artery aneurysm case report and review of the literature. Neurosurg Rev. 2001 Jul;24(2-3):151-155.
  30. Farias JP, Trindade AM. Giant distal anterior cerebral artery aneurysm not visualized on angiography: case report. Surg Neurol. 1997 Oct;48(4):348-351.
  31. Pozzati E, Nuzzo G, Gaist G. Giant aneurysm of the pericallosal artery Case report. J Neurosurg. 1982 Oct;57(4):566-569. https://doi.org/10.3171/jns.1982.57.4.0566
  32. Fathi NQ, Syahrilfazli AJ, Azizi AB, Redzuan IM, Sobri M, Kumar R. Ruptured Giant Left Distal Anterior Cerebral Artery Aneurysm in a Two-Month-Old Baby. Pediatr Neurosurg. 2015;50(5):275-280. https://doi.org/10.1159/000437144
  33. Koyama S. Giant aneurysm of the pericallosal artery causing acute subdural hematoma — case report. Neurol Med Chir (Tokyo). 2000;268-271.
  34. Matsushima K, Kawashima M, Suzuyama K, Takase Y, Takao T, Matsushima T. Thrombosed giant aneurysm of the distal anterior cerebral artery treated with aneurysm resection and proximal pericallosal artery-callosomarginal artery end-to-end anastomosis: Case report and review of the literature. Surg Neurol Int. 2011;2:135. https://doi.org/10.4103/2152-7806.85608
  35. Abla AA, Lawton MT. Anterior cerebral artery bypass for complex aneurysms: an experience with intracranial-intracranial reconstruction and review of bypass options. J Neurosurg. 2014 Jun;120(6):1364-1377. https://doi.org/10.3171/2014.3.JNS132219
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