Table 1 Clinical characteristics of 13 patients with dissecting aneurysms involving the precommunicating segment of the anterior cerebral artery
Authors and Reference number | Age (years)/Sex | Dissecting aneurysm location | Clinical evidence | Treatment | Complications | Outcome |
|---|---|---|---|---|---|---|
Gherardi and Lee [7] | 26/F | NA | Subarachnoid hemorrhage, headache, coma | NA | – | Death |
Nelson [10] | 5/M | NA | Headache, right hemiparesis, aphasia | NA | – | Death |
Pilz [16] | 22/F | NA | Incidental | NA | – | Death |
Yamashita et al. [1] | 16/F | Right A1 segment | Confusion, left hemiparesis, left homonymous hemianopsia | Medical therapy (dexamethasone and tranexamic acid) | – | Death |
Honda et al. [18] | 48/F | NA | Headache, right hemiparesis | NA | NA | Good recovery |
Hirao et al. [17] | 58/F | Left A1 segment | Headache, loss of consciousness, aphasia, involuntary movements | Trapping and clipping | Low perfusion area of the medial and inferior part of the left frontal lobe | Good recovery |
39/F | Left A1 segment | Headache, aphasia, right hemiparesis and facial nerve paresis, confusion | Conservative treatment | NA | Good recovery | |
Leach et al. [13] | 39/F | Right A1 segment | Confusion, loss of consciousness | Surgical trapping with two straight clips | Ischemia of the right caudate nucleus head | Good recovery |
Hasegawa et al. [8] | 23/M | Right A1 segment | Headache | Trapping and resection of the aneurysm | NA | Good recovery |
Iwashita et al. [12] | 53/F | Right A1 segment | Left hemiparesis and alien hand syndrome | Trapping of the proximal and distal site of the aneurysm | ||
Lv et al. [14] | 43/M | Left A1 segment | Loss of consciousness | Endovascular stenting and, 3 months later, complete endovascular occlusion of the left A1 portion of the anterior cerebral artery | Regrowth of the aneurysm | Good recovery |
Wu and Chiu [15] | NA | A1 segment | Visual field defect | Surgical treatment | NA | Good recovery |
de Divitiis et al. (present study) | 28/F | Right A1 segment | Headache, loss of consciousness | Surgical clipping of the right anterior cerebral artery | Ischemia of the right caudate nucleus head | Good recovery |