Interoptic course of the anterior cerebral artery associated with anterior cerebral artery aneurysm

Case report

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✓ A ruptured anterior cerebral artery aneurysm is reported in a patient in whom a solitary anterior cerebral artery arose from the proximal carotid artery and ascended between the optic nerves.

Article Information

Address reprint requests to: Howard J. Senter, M.D., Suite 401, Mellon Pavilion, 4815 Liberty Avenue, Pittsburgh, Pennsylvania 15224.

© AANS, except where prohibited by US copyright law.

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Figures

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    Right carotid angiogram. Left: Anteroposterior view showing the low origin of the solitary anterior cerebral artery (diagonal arrow). Horizontal arrow points to the vertical segments of the anterior cerebral artery ascending between the two optic nerves. Right: Lateral view. Arrows identify the same two areas.

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    Intraoperative photograph, showing the anterior cerebral artery coursing between the optic nerves (1); the left and right optic nerves (2); the proximal and distal branches of the right middle cerebral artery (3); the aneurysm (A); right A2 segment (B); and lenticulostriate branches of the right middle cerebral artery (C). R = the retractor on the right frontal and temporal lobes.

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