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All Journal Neurologico Spinale Medico Chirurgico
Achmad Adam
Chief of Neurovascular Division, Neurosurgery Department, Medical Faculty Padjajaran University, Bandung, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Endovascular coiling procedure for saccular multilobulated anterior communicating artery aneurysm associated with contralateral A1 segment aplasia Bilzardy Ferry Zulkifli; Achmad Adam; Christian Beta Kurniawan; Yustinus Robby Budiman Gondowardojo
Neurologico Spinale Medico Chirurgico Vol 5 No 1 (2022)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v5i1.176

Abstract

The anterior communicating artery complex anatomy is very important in treating anterior cerebral circulation aneurysms surgically. About a quarter of all intracranial aneurysms are anterior communicating artery (AcomA) aneurysms. Aneurysm formation may be influenced by anatomic risk factors, with a co-occurring incidence of anterior cerebral artery trunks (A1) asymmetry. Patients with AcomA aneurysm are often presented with anterior cerebral artery A1 segment aplasia/hypoplasia. In this study, we will report a case of A1 hypoplasia in a 42-year-old female with a history of headache 3 days prior to admission which worsened overtime. Traditionally, coiling of A1 hypoplasia was not needed, however due to the neurological deficit, coiling was performed. This case report addresses the comparison between patient’s pre-operative and post-operative results from angiography and coiling.
Co-Authors Bilzardy Ferry Zulkifli Christian Beta Kurniawan Yustinus Robby Budiman Gondowardojo