Rare Distal Anterior Choroidal Artery Aneurysm
Abstract: To describe a rare
patient with ruptur aneurysm case of distal anterior choroidal artery (AChA)
and intraventricular hemorrhage. A 56-year old female came to our hospital with
chief complaint sudden onset of severe headache and vomiting.
Methods: Head computed tomography (CT)-scan and angiography on the lesion
was performed at the Department of Radiology, Siloam Hospital, Tangerang,
Indonesia.
Results: Head CT-scan imaging revealed an intraventricular hemorrhage,
primarily in the right lateral ventricle, with slight enlargement of both
lateral, 3rd and 4th ventricles. Angiography examination revealed a round
vascular lesion at the wall of the posterior cornu of the lateral ventricle and
an occlusion of the M1 base segment of the left middle cerebral artery.
Conclusions: The lesion, distal AChA aneurysm, at the posterior cornu was
reached using an infratemporal lobe approach with the help of neuronavigation.
Microsurgical clipping was successfully performed.
Author: Muhammad Zafrullah
Arifin, Julius July, Bilzardy Ferry, Ahmad Faried
Journal Code: jpkedokterangg160126
