Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.

Aneurysms of the distal anterior cerebral artery (DACA) are rare and their surgical treatments present some unique difficulties from a technical standpoint. In this report, we presented our experiences of cases with DACA aneurysms, and analyzed the clinical features and prognostic factors affecting...

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Main Authors:	Kwon, T. H., Chung, H. S., Lim, D. J., Park, J. Y., Park, Y. K., Lee, H. K., Suh, J. K.
Format:	Online
Language:	English
Published:	Korean Academy of Medical Sciences 2001
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054724/

id	pubmed-3054724
recordtype	oai_dc
spelling	pubmed-30547242011-03-15 Distal anterior cerebral artery aneurysms: clinical features and surgical outcome. Kwon, T. H. Chung, H. S. Lim, D. J. Park, J. Y. Park, Y. K. Lee, H. K. Suh, J. K. Research Article Aneurysms of the distal anterior cerebral artery (DACA) are rare and their surgical treatments present some unique difficulties from a technical standpoint. In this report, we presented our experiences of cases with DACA aneurysms, and analyzed the clinical features and prognostic factors affecting the final outcomes. Among 770 cases of intracranial aneurysms operated from 1990 to 1998, 19 cases of DACA aneurysms (2.5%) were studied retrospectively. The characteristic findings were female preponderance (M:F = 1:2.8), common multiple aneurysms (57.9%), and frequent intracerebral hemorrhage (ICH) on initial brain CT scan (42.1%). All patients were operated via interhemispheric approach. Intraoperative aneurysmal rupture was developed only in 3 cases (15.8%), and had no relationship with the final outcome Fifteen out of 19 patients (78.9%) showed favorable outcome with a mortality rate of 5.3%. The follow-up data suggest that the initial ICH on brain CT scan portend a poor prognosis. Korean Academy of Medical Sciences 2001-04 /pmc/articles/PMC3054724/ /pubmed/11306748 Text en
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Kwon, T. H. Chung, H. S. Lim, D. J. Park, J. Y. Park, Y. K. Lee, H. K. Suh, J. K.
spellingShingle	Kwon, T. H. Chung, H. S. Lim, D. J. Park, J. Y. Park, Y. K. Lee, H. K. Suh, J. K. Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
author_facet	Kwon, T. H. Chung, H. S. Lim, D. J. Park, J. Y. Park, Y. K. Lee, H. K. Suh, J. K.
author_sort	Kwon, T. H.
title	Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
title_short	Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
title_full	Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
title_fullStr	Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
title_full_unstemmed	Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
title_sort	distal anterior cerebral artery aneurysms: clinical features and surgical outcome.
description	Aneurysms of the distal anterior cerebral artery (DACA) are rare and their surgical treatments present some unique difficulties from a technical standpoint. In this report, we presented our experiences of cases with DACA aneurysms, and analyzed the clinical features and prognostic factors affecting the final outcomes. Among 770 cases of intracranial aneurysms operated from 1990 to 1998, 19 cases of DACA aneurysms (2.5%) were studied retrospectively. The characteristic findings were female preponderance (M:F = 1:2.8), common multiple aneurysms (57.9%), and frequent intracerebral hemorrhage (ICH) on initial brain CT scan (42.1%). All patients were operated via interhemispheric approach. Intraoperative aneurysmal rupture was developed only in 3 cases (15.8%), and had no relationship with the final outcome Fifteen out of 19 patients (78.9%) showed favorable outcome with a mortality rate of 5.3%. The follow-up data suggest that the initial ICH on brain CT scan portend a poor prognosis.
publisher	Korean Academy of Medical Sciences
publishDate	2001
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054724/
_version_	1611444890363756544

Distal anterior cerebral artery aneurysms: clinical features and surgical outcome.

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