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Published in: Surgical and Radiologic Anatomy 10/2015

01-12-2015 | Anatomic Variations

An unusual, duplicate origin of the anterior choroidal artery with aneurysm: a case report

Authors: Louis Chenin, Cyril Chivot, Patrick Toussaint, Hervé Deramond, Johann Peltier

Published in: Surgical and Radiologic Anatomy | Issue 10/2015

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Abstract

Background and importance

Aneurysms of the anterior choroidal artery (AChoA) are rare and often difficult to treat. Variations may be present and must be identified prior to treatment. We report a unique case of a ruptured aneurysm located at the origin of a duplicate branch of the AChoA.

Clinical presentation

A 56-year-old male was admitted to our university hospital for coma. A brain CT scan showed a subarachnoid hemorrhage, and CT angiography revealed a duplication of the right AChoA, with an aneurysm located at the branch’s origin. We decided to embolize this aneurysm. Four weeks later, our patient was able to transfer to the rehabilitation unit.

Conclusion

To the best of our knowledge, this is one of the first descriptions of an aneurysm located at the origin of a duplicate branch of the AChoA.
Literature
1.
go back to reference Akar A, Sengul G, Aydin IH (2009) The variations of the anterior choroidal artery: an intraoperative study. Turk Neurosurg 19(4):349–352PubMed Akar A, Sengul G, Aydin IH (2009) The variations of the anterior choroidal artery: an intraoperative study. Turk Neurosurg 19(4):349–352PubMed
2.
go back to reference Bohnstedt BN, Kemp WJ 3rd, Li Y, Payner TD, Horner TG, Leipzig TJ, Cohen-Gadol AA (2013) Surgical treatment of 127 anterior choroidal artery aneurysms: a cohort study of resultant ischemic complications. Neurosurgery 73(6):933–939 (discussion 939–940) CrossRefPubMed Bohnstedt BN, Kemp WJ 3rd, Li Y, Payner TD, Horner TG, Leipzig TJ, Cohen-Gadol AA (2013) Surgical treatment of 127 anterior choroidal artery aneurysms: a cohort study of resultant ischemic complications. Neurosurgery 73(6):933–939 (discussion 939–940) CrossRefPubMed
3.
go back to reference Fernández-Miranda JC, de Oliveira E, Rubino PA, Wen HT, Rhoton AL Jr (2010) Microvascular anatomy of the medial temporal region: part 1: its application to arteriovenous malformation surgery. Neurosurgery 67(3 Suppl Operative):ons237–ons276 (discussion ons276) PubMed Fernández-Miranda JC, de Oliveira E, Rubino PA, Wen HT, Rhoton AL Jr (2010) Microvascular anatomy of the medial temporal region: part 1: its application to arteriovenous malformation surgery. Neurosurgery 67(3 Suppl Operative):ons237–ons276 (discussion ons276) PubMed
4.
go back to reference Friedman JA, Pichelmann MA, Piepgras DG, Atkinson JL, Maher CO, Meyer FB, Hansen KK (2001) Ischemic complications of surgery for anterior choroidal artery aneurysms. J Neurosurg 94(4):565–572CrossRefPubMed Friedman JA, Pichelmann MA, Piepgras DG, Atkinson JL, Maher CO, Meyer FB, Hansen KK (2001) Ischemic complications of surgery for anterior choroidal artery aneurysms. J Neurosurg 94(4):565–572CrossRefPubMed
5.
go back to reference Fujii K, Lenkey C, Rhoton AL Jr (1980) Microsurgical anatomy of the choroidal arteries. Fourth ventricle and cerebellopontine angles. J Neurosurg 52(4):504–524CrossRefPubMed Fujii K, Lenkey C, Rhoton AL Jr (1980) Microsurgical anatomy of the choroidal arteries. Fourth ventricle and cerebellopontine angles. J Neurosurg 52(4):504–524CrossRefPubMed
6.
go back to reference Hussein S, Renella RR, Dietz H (1988) Microsurgical anatomy of the anterior choroidal artery. Acta Neurochir (Wien) 92(1–4):19–28CrossRef Hussein S, Renella RR, Dietz H (1988) Microsurgical anatomy of the anterior choroidal artery. Acta Neurochir (Wien) 92(1–4):19–28CrossRef
7.
go back to reference Kang H-S, Kwon BJ, Kwon O-K, Jung C, Kim JE, Oh CW, Han MH (2009) Endovascular coil embolization of anterior choroidal artery aneurysms. Clinical article. J Neurosurg 111(5):963–969CrossRefPubMed Kang H-S, Kwon BJ, Kwon O-K, Jung C, Kim JE, Oh CW, Han MH (2009) Endovascular coil embolization of anterior choroidal artery aneurysms. Clinical article. J Neurosurg 111(5):963–969CrossRefPubMed
8.
go back to reference Morandi X, Brassier G, Darnault P, Mercier P, Scarabin JM, Duval JM (1996) Microsurgical anatomy of the anterior choroidal artery. Surg Radiol Anat 18(4):275–280CrossRefPubMed Morandi X, Brassier G, Darnault P, Mercier P, Scarabin JM, Duval JM (1996) Microsurgical anatomy of the anterior choroidal artery. Surg Radiol Anat 18(4):275–280CrossRefPubMed
9.
go back to reference Lasjaunias P, Berenstein A, ter Brugge KG (2006) Surgical Neuroangiography, 2nd edn. Springer, BerlinCrossRef Lasjaunias P, Berenstein A, ter Brugge KG (2006) Surgical Neuroangiography, 2nd edn. Springer, BerlinCrossRef
10.
go back to reference Rhoton AL Jr, Fujii K, Fradd B (1979) Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12(2):171–187PubMed Rhoton AL Jr, Fujii K, Fradd B (1979) Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12(2):171–187PubMed
11.
go back to reference Uchino A, Kamiya K, Suzuki C (2013) Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance angiography. Surg Radiol Anat 35(8):741–743CrossRefPubMed Uchino A, Kamiya K, Suzuki C (2013) Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance angiography. Surg Radiol Anat 35(8):741–743CrossRefPubMed
Metadata
Title
An unusual, duplicate origin of the anterior choroidal artery with aneurysm: a case report
Authors
Louis Chenin
Cyril Chivot
Patrick Toussaint
Hervé Deramond
Johann Peltier
Publication date
01-12-2015
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 10/2015
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1499-3

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