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Acta Neurochirurgica

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24-02-2023 | Aneurysm | Original Article - Vascular Neurosurgery - Aneurysm

Small symptomatic anterior communicating artery aneurysms: report of three cases and literature review

Authors: Adem C. Yazici, Ryan M. Naylor, Stephen Graepel, Giuseppe Lanzino

Published in: Acta Neurochirurgica | Issue 4/2023

Abstract

Purpose

Given the anatomical relationship between the ACom complex and the optic nerve, small aneurysms of the ACom can present with visual symptoms.

Case reports

We summarize and illustrate the clinical course of three patients with symptomatic small ACom aneurysms and collect similar other cases reported.

Results

Ten patients with small unruptured visually symptomatic anterior communicating artery aneurysms were found in the literature. Including three patients herein reported, the mean age at presentation was 56. The most common visual symptoms were bitemporal vision loss and/or a decrease in visual acuity.

Conclusion

Unruptured aneurysms of the anterior communicating artery can present with visual symptoms due to compression of optic pathways, even at a small size. Prompt recognition and treatment of such a condition are paramount as new onset of visual symptoms can signify impending rupture akin to small PCom aneurysms compressing the third nerve. We discuss a few pitfalls of clipping small ACom aneurysms compressing the optic nerve.

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Title: Small symptomatic anterior communicating artery aneurysms: report of three cases and literature review
Authors: Adem C. Yazici
Ryan M. Naylor
Stephen Graepel
Giuseppe Lanzino
Publication date: 24-02-2023
Publisher: Springer Vienna
Keywords: Aneurysm
Aneurysm
Published in: Acta Neurochirurgica / Issue 4/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05506-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Small symptomatic anterior communicating artery aneurysms: report of three cases and literature review

Abstract

Purpose

Case reports

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Case reports

Results

Conclusion

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