J Korean Neurosurg Soc.  1994 Sep;23(9):1068-1073.

Four Cases of Surgically Managed Distal Anterior Cerebral Artery Aneurysm

• Cho KC
• Jung H
• Choi CM
• An YB
• Lee SK
• Lee YK

Abstract

A series of 4 patients with aneurysm of distal anterior cerebral artery(DACA), operated with microtechniques, is reviewed. Because the incidence of aneurysms in this location was only 2 to 4% of that of total aneurysm, little expericences on surgical management of this aneurysm have been reported. An aneurysm in this location is difficult to approach surgically because of their multiplicity, characteristically broad and sclerotic base, with small subarachnoid space in the interhemispheric fissure. We surgically treated DACA aneurysms of 4 cases through the interhemispheric approach via the unilateral frontal paramedian craniotomy on the nondominant side.

Keyword

Distal anterior cerebral artery aneurysm(DACA); Interhemispheric approach

MeSH Terms

Aneurysm
Anterior Cerebral Artery*
Craniotomy
Humans
Incidence
Intracranial Aneurysm*
Subarachnoid Space