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[Ruptured frontopolar artery aneurysm: two cases].
No Shinkei Geka. 2003 Sep; 31(9):1009-12.NS

Abstract

We report two very rare cases of subarachnoid hemorrhage due to a ruptured frontopolar artery aneurysm in the cingulate sulcus. Only two surgically treated cases have been reported. Case 1: A 69-year-old woman suffered headache and was admitted to our hospital the next day. Computed tomography (CT) revealed focal subarachnoid hemorrhage (SAH) in the interhemispheric fissure. Cerebral angiography on admission failed to show an aneurysm, but follow-up study on day 14 revealed a small aneurysm in the cingulate sulcus at the origin of the frontopolar artery arising from the callosomarginal trunk. The aneurysm was successfully clipped on day 15 and the post-operative course was uneventful. Case 2: A 43-year-old man was transferred to our hospital complaining of severe headache. CT revealed diffuse SAH in the basal and interhemispheric cistern. Cerebral angiography showed an aneurysm at the origin of the callosomarginal trunk arising from the anterior communicating artery complex and another at the callosomarginal-frontopolar bifurcation in the cingulate sulcus. Both aneurysms were successfully clipped on the day of admission, and the frontopolar artery aneurysm was shown to be the cause of the SAH.

Authors+Show Affiliations

Aiba T
Department of Neurosurgery, Shibata Prefectural Hospital, 4-5-48 Otemachi, Shibata-city, Niigata 957-0052, Japan.
Takahashi S
No affiliation info available
Fukuda M
No affiliation info available

MeSH

AdultAgedAneurysm, RupturedCerebral AngiographyCerebral ArteriesCorpus CallosumFemaleHumansIntracranial AneurysmMaleSubarachnoid HemorrhageTomography, X-Ray ComputedTreatment OutcomeVascular Surgical Procedures

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

14513785

Citation

Aiba, Toyotaka, et al. "[Ruptured Frontopolar Artery Aneurysm: Two Cases]." No Shinkei Geka. Neurological Surgery, vol. 31, no. 9, 2003, pp. 1009-12.
Aiba T, Takahashi S, Fukuda M. [Ruptured frontopolar artery aneurysm: two cases]. No Shinkei Geka. 2003;31(9):1009-12.
Aiba, T., Takahashi, S., & Fukuda, M. (2003). [Ruptured frontopolar artery aneurysm: two cases]. No Shinkei Geka. Neurological Surgery, 31(9), 1009-12.
Aiba T, Takahashi S, Fukuda M. [Ruptured Frontopolar Artery Aneurysm: Two Cases]. No Shinkei Geka. 2003;31(9):1009-12. PubMed PMID: 14513785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ruptured frontopolar artery aneurysm: two cases]. AU - Aiba,Toyotaka, AU - Takahashi,Sho, AU - Fukuda,Masafumi, PY - 2003/9/30/pubmed PY - 2003/11/5/medline PY - 2003/9/30/entrez SP - 1009 EP - 12 JF - No shinkei geka. Neurological surgery JO - No Shinkei Geka VL - 31 IS - 9 N2 - We report two very rare cases of subarachnoid hemorrhage due to a ruptured frontopolar artery aneurysm in the cingulate sulcus. Only two surgically treated cases have been reported. Case 1: A 69-year-old woman suffered headache and was admitted to our hospital the next day. Computed tomography (CT) revealed focal subarachnoid hemorrhage (SAH) in the interhemispheric fissure. Cerebral angiography on admission failed to show an aneurysm, but follow-up study on day 14 revealed a small aneurysm in the cingulate sulcus at the origin of the frontopolar artery arising from the callosomarginal trunk. The aneurysm was successfully clipped on day 15 and the post-operative course was uneventful. Case 2: A 43-year-old man was transferred to our hospital complaining of severe headache. CT revealed diffuse SAH in the basal and interhemispheric cistern. Cerebral angiography showed an aneurysm at the origin of the callosomarginal trunk arising from the anterior communicating artery complex and another at the callosomarginal-frontopolar bifurcation in the cingulate sulcus. Both aneurysms were successfully clipped on the day of admission, and the frontopolar artery aneurysm was shown to be the cause of the SAH. SN - 0301-2603 UR - https://www.unboundmedicine.com/medline/citation/14513785/[Ruptured_frontopolar_artery_aneurysm:_two_cases]_ DB - PRIME DP - Unbound Medicine ER -