Revelation and Management of Distal Anterior Cerebral Artery Aneurysms
Chafik HANDIS1*, Yacine FELISSI1, Salim MEZIANI1, Mansour DEBBOU1, Hamas ZIREG1, Radhia AIT CHALAL2, Mohamed Amine HABOUCHI2 and Abdelhalim MORSLI1
1 Mohamed Lamine Debaghine University Hospital, Department of Neurosurgery, Algiers university – Faculty of Medicine, Algiers, Algeria.
2 Mohamed Lamine Debaghine University Hospital, National Center of Medical Imaging , Algiers university – Faculty of Medicine, Algiers, Algeria.
*Corresponding Author: Chafik Handis, M.D, Department: Department of Neurosurgery, Mohamed Lamine Debaghine University Hospital, Algiers university – Faculty of Medicine, Boulevard Said Touati, Bab El Oued, 16000, Algiers, Algeria.
DOI: https://doi.org/10.58624/SVOANE.2023.04.0107
Received: September 25, 2023 Published: October 25, 2023
Abstract
Pericallosal aneurysms can affect any segment of the anterior cerebral artery distal to the anterior communicating artery. They represent relatively 9% of all intracranial aneurysms and are mainly revealed by a hemorrhagic stroke in different forms. This retrospective study reviewed all patients that received clipping for DACA aneurysms among all cases of brain aneurysms. 10 patients were included in this group and several parameters were evaluated. 60% of patients were female and their ages ranged from 44 to 78 years. 80% of candidates complained of headaches and 50% presented seizures clipping. 60% of patients presented an IPH at their first presentation while SAH was found in half of them. A good WFNS score was noticed and almost of patients (80 %) were graded I. Most of aneurysms (80%) were located at the pericallosal – callosomarginal junction. We had two cases (20%) with additional aneurysms in other localizations. All of them received microsurgical clipping. most of them had good short and long -term follow-ups. We had one death after several systemic complications. DACA aneurysms are revealed at a small size with the onset of cingular hematoma or SAH, especially in the interhemispheric cistern. This could affect the cognitive functions and is considered a determining factor in the patient’s quality of life. The surgical clipping is an effective and durable option for their management.
Keywords: Cingular, Cognitive, Microsurgery.
Citation: Handis C, Felissi Y, Meziani S, Debbou M, Zireg H, Chalal RA, Habouchi MA, Morsli A. Revelation and Management of Distal Anterior Cerebral Artery Aneurysms. SVOA Neurology 2023, 4:5, 147-156.
