Median artery of the corpus callosum in the context of AComA aneurysm rupture: The relevance of a perianeurysmal anatomy

Authors

DOI:

https://doi.org/10.31157/an.v28i2.421

Keywords:

AComA aneurysm, Clipping, Vascular abnormalities, Subarachnoid hemorrhage, Fluoresceine

Abstract

It is important to understand the patient's vascular anatomy before treating cerebral aneurysms. The middle artery of the corpus callosum is one of the least common variations of the AComA complex. We describe the case of a 59-year-old woman who suffered a subarachnoid hemorrhage due to an AComA complex aneurysm that had ruptured. Fluorescein injection during the aneurysm clipping procedure revealed a partial obstruction of the middle artery, requiring repositioning of the clip. The vascular variations that our patients may exhibit at the time of aneurysm clipping must be kept in mind and understood.

References

Altafulla JJ, Simonds EA, Dupont G, Lachkar S, Litvack Z, Iwanaga J, et al. A median artery of the corpus callosum. Cureus. 2018;10(9):e3355. doi:10.7759/cureus.3355 DOI: https://doi.org/10.7759/cureus.3355

Yasargil MG, Fox JL, Ray MW. The operative approach to aneurysms of the anterior communicating artery. In: Krayenbühl H, editor. Advances and Technical Standards in Neurosurgery. Vienna: Springer; 1975. p. 113-170.

Yasargil MG, Fox JL. The microsurgical approach to intracranial aneurysms. Surg Neurol. 1975;3(1):7-14.

Lawton MT. Anterior Communicating Artery Aneurysms. In: Lawton MT, editor. Seven aneurysms tenets and techniques for clipping. Stuttgart, Thieme, 2011. p. 94-120. DOI: https://doi.org/10.1055/b-002-66278

Kardile PB, Ughade JM, Pandit SV, Ughade MN. Anatomical variations of anterior communicating artery. J Clin Diagn Res. 2013;7(12):2661–4. doi:10.7860/JCDR/2013/6664.3725 DOI: https://doi.org/10.7860/JCDR/2013/6664.3725

Rhoton AL Jr. The supratentorial arteries. Neurosurgery. 2002;51(4 Suppl):S53-S120. DOI: https://doi.org/10.1097/00006123-200210001-00003

Marinković S, Milisavljević M, Marinković Z. Branches of the anterior communicating artery. Microsurgical anatomy. Acta Neurochir (Wien). 1990;106(1-2):78-85. doi:10.1007/BF01809337 DOI: https://doi.org/10.1007/BF01809337

Martínez F, Spagnuolo E, Calvo-Rubal A, Laza S, Sgarbi N, Soria-Vargas VR, et al. Variants of the anterior circle of Willis. Anatomic and angiografic correlation and its implications in the surgery of intracranial aneurysms. (Acigos anterior cerebral artery, median artery of the corpus callosum and accessory middle cerebral artery). Neurocirugia (Astur). 2004;15(6):578-589. doi:10.1016/s1130-1473(04)70449-2 DOI: https://doi.org/10.1016/S1130-1473(04)70449-2

Türe U, Yaşargil MG, Krisht AF. The arteries of the corpus callosum: a microsurgical anatomic study. Neurosurgery. 1996;39(6):1075-1085. doi:10.1097/00006123-199612000-00001 DOI: https://doi.org/10.1097/00006123-199612000-00001

Kwak R, Niizuma H, Hatanaka M, Suzuki J. Anterior communicating artery aneurysms with associated anomalies. J Neurosurg. 1980;52(2):162-164. doi:10.3171/jns.1980.52.2.0162 DOI: https://doi.org/10.3171/jns.1980.52.2.0162

Nathal E, Yasui N, Sampei T, Suzuki A. Intraoperative anatomical studies in patients with aneurysms of the anterior communicating artery complex. J Neurosurg. 1992;76(4):629-634. doi:10.3171/jns.1992.76.4.0629 DOI: https://doi.org/10.3171/jns.1992.76.4.0629

Okahara M, Kiyosue H, Mori H, Tanoue S, Sainou M, Nagatomi H. Anatomic variations of the cerebral arteries and their embryology: a pictorial review. Eur Radiol. 2002;12(10):2548-2561. doi:10.1007/s00330-001-1286-x DOI: https://doi.org/10.1007/s00330-001-1286-x

Ogawa A, Suzuki M, Sakurai Y, Yoshimoto T. Vascular anomalies associated with aneurysms of the anterior communicating artery: microsurgical observations. J Neurosurg. 1990;72(5):706-709. doi:10.3171/jns.1990.72.5.0706 DOI: https://doi.org/10.3171/jns.1990.72.5.0706

Additional Files

Published

2023-01-29

How to Cite

Degollado-García, J., Marian-Magaña, R., Hernández-Hernández, A., Villanueva-Castro, E., Ballesteros-Herrera, D., & Gómez-Amador, J. L. (2023). Median artery of the corpus callosum in the context of AComA aneurysm rupture: The relevance of a perianeurysmal anatomy. Archivos De Neurociencias, 28(2). https://doi.org/10.31157/an.v28i2.421

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Case report

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