Anomalous medial origin of the anterior choroidal artery with associated aneurysm
Abstract Injury to the anterior choroidal artery (AchA) can be devastating owing to the importance of the territory it supplies. The AchA is a known site of aneurysm formation, and is often exposed during various surgical and endovascular procedures. We report a patient with an aneurysm at the origi...
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| Veröffentlicht in: | Journal of the neurological sciences 2009-12, Vol.287 (1), p.250-252 |
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| creator | Hammers, Ronald Hacein-Bey, Lotfi Origitano, Thomas C |
| description | Abstract Injury to the anterior choroidal artery (AchA) can be devastating owing to the importance of the territory it supplies. The AchA is a known site of aneurysm formation, and is often exposed during various surgical and endovascular procedures. We report a patient with an aneurysm at the origin of the AchA, and an anomalous medial take off of the artery from the internal carotid artery, then a sharp lateral turn followed by a normal course toward the choroidal fissure, unreported to date to our knowledge. The aneurysm was treated successfully by endovascular therapy. The typical anatomy of the AchA, and reported variations in its origin are discussed. Thorough knowledge of the normal cerebrovascular anatomy and attention to variations play an important role in the successful management of patients with neurological vascular conditions. |
| doi_str_mv | 10.1016/j.jns.2009.09.001 |
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The AchA is a known site of aneurysm formation, and is often exposed during various surgical and endovascular procedures. We report a patient with an aneurysm at the origin of the AchA, and an anomalous medial take off of the artery from the internal carotid artery, then a sharp lateral turn followed by a normal course toward the choroidal fissure, unreported to date to our knowledge. The aneurysm was treated successfully by endovascular therapy. The typical anatomy of the AchA, and reported variations in its origin are discussed. Thorough knowledge of the normal cerebrovascular anatomy and attention to variations play an important role in the successful management of patients with neurological vascular conditions.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/j.jns.2009.09.001</identifier><identifier>PMID: 19775702</identifier><identifier>CODEN: JNSCAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Aneurysm ; Anterior choroidal artery ; Biological and medical sciences ; Brain Infarction - pathology ; Brain Infarction - physiopathology ; Brain Infarction - prevention & control ; Carotid Artery, Internal - abnormalities ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - pathology ; Carotid Artery, Internal, Dissection - diagnostic imaging ; Carotid Artery, Internal, Dissection - pathology ; Carotid Artery, Internal, Dissection - physiopathology ; Central Nervous System Vascular Malformations - diagnostic imaging ; Central Nervous System Vascular Malformations - pathology ; Central Nervous System Vascular Malformations - physiopathology ; Cerebral Angiography ; Embolization, Therapeutic - instrumentation ; Embolization, Therapeutic - methods ; Endovascular ; Female ; Geniculate Bodies - blood supply ; Globus Pallidus - blood supply ; Humans ; Internal Capsule - blood supply ; Intracranial Aneurysm - diagnostic imaging ; Intracranial Aneurysm - pathology ; Intracranial Aneurysm - physiopathology ; Medial origin ; Medical sciences ; Middle Aged ; Neurology ; Syncope - etiology ; Treatment Outcome ; Variation ; Vascular diseases and vascular malformations of the nervous system ; Visual Pathways - blood supply</subject><ispartof>Journal of the neurological sciences, 2009-12, Vol.287 (1), p.250-252</ispartof><rights>Elsevier B.V.</rights><rights>2009 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-6e0877dfcf8df72ec865e6cf28f916d063a8f03a1e94822a24de8437cf4558e73</citedby><cites>FETCH-LOGICAL-c468t-6e0877dfcf8df72ec865e6cf28f916d063a8f03a1e94822a24de8437cf4558e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jns.2009.09.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22194815$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19775702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hammers, Ronald</creatorcontrib><creatorcontrib>Hacein-Bey, Lotfi</creatorcontrib><creatorcontrib>Origitano, Thomas C</creatorcontrib><title>Anomalous medial origin of the anterior choroidal artery with associated aneurysm</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>Abstract Injury to the anterior choroidal artery (AchA) can be devastating owing to the importance of the territory it supplies. The AchA is a known site of aneurysm formation, and is often exposed during various surgical and endovascular procedures. We report a patient with an aneurysm at the origin of the AchA, and an anomalous medial take off of the artery from the internal carotid artery, then a sharp lateral turn followed by a normal course toward the choroidal fissure, unreported to date to our knowledge. The aneurysm was treated successfully by endovascular therapy. The typical anatomy of the AchA, and reported variations in its origin are discussed. Thorough knowledge of the normal cerebrovascular anatomy and attention to variations play an important role in the successful management of patients with neurological vascular conditions.</description><subject>Aneurysm</subject><subject>Anterior choroidal artery</subject><subject>Biological and medical sciences</subject><subject>Brain Infarction - pathology</subject><subject>Brain Infarction - physiopathology</subject><subject>Brain Infarction - prevention & control</subject><subject>Carotid Artery, Internal - abnormalities</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - pathology</subject><subject>Carotid Artery, Internal, Dissection - diagnostic imaging</subject><subject>Carotid Artery, Internal, Dissection - pathology</subject><subject>Carotid Artery, Internal, Dissection - physiopathology</subject><subject>Central Nervous System Vascular Malformations - diagnostic imaging</subject><subject>Central Nervous System Vascular Malformations - pathology</subject><subject>Central Nervous System Vascular Malformations - physiopathology</subject><subject>Cerebral Angiography</subject><subject>Embolization, Therapeutic - instrumentation</subject><subject>Embolization, Therapeutic - methods</subject><subject>Endovascular</subject><subject>Female</subject><subject>Geniculate Bodies - blood supply</subject><subject>Globus Pallidus - blood supply</subject><subject>Humans</subject><subject>Internal Capsule - blood supply</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Intracranial Aneurysm - pathology</subject><subject>Intracranial Aneurysm - physiopathology</subject><subject>Medial origin</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Syncope - etiology</subject><subject>Treatment Outcome</subject><subject>Variation</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Visual Pathways - blood supply</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9klGL1DAQgIMo3t7pD_BF-qI-dW8maZsUQTgOT4UDOVTwLcR04qa2zZm0yv57U3bx4B4OBgLhm8nMN2HsBcIWAZvzfttPacsB2u0agI_YBpVUZa2UeMw2AJyXNcL3E3aaUg8AjVLtU3aCrZS1BL5hNxdTGM0QllSM1HkzFCH6n34qgivmHRVmmin6EAu7CzH4LgMm5qt98dfPu8KkFKw3M3WZpCXu0_iMPXFmSPT8eJ6xb1fvv15-LK8_f_h0eXFd2qpRc9kQKCk7Z53qnORkVVNTYx1XrsWmg0YY5UAYpLZSnBtedaQqIa2r6lqRFGfszaHubQy_F0qzHn2yNAy5kTyOlqJCAYLXmXz9IMkRawFcZBAPoI0hpUhO30Y_mrjXCHo1rnudjevVuF4DMOe8PBZffmSDdxlHxRl4dQRMsmZw0UzWp_8c55gHxLXLtweOsrQ_nqJO1tNk81Yi2Vl3wT_Yxrt72Xbwk88P_qI9pT4sccrb0KgT16C_rF9j_RnQAmStIP4BxEWzbg</recordid><startdate>20091215</startdate><enddate>20091215</enddate><creator>Hammers, Ronald</creator><creator>Hacein-Bey, Lotfi</creator><creator>Origitano, Thomas C</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20091215</creationdate><title>Anomalous medial origin of the anterior choroidal artery with associated aneurysm</title><author>Hammers, Ronald ; Hacein-Bey, Lotfi ; Origitano, Thomas C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-6e0877dfcf8df72ec865e6cf28f916d063a8f03a1e94822a24de8437cf4558e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aneurysm</topic><topic>Anterior choroidal artery</topic><topic>Biological and medical sciences</topic><topic>Brain Infarction - pathology</topic><topic>Brain Infarction - physiopathology</topic><topic>Brain Infarction - prevention & control</topic><topic>Carotid Artery, Internal - abnormalities</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - pathology</topic><topic>Carotid Artery, Internal, Dissection - diagnostic imaging</topic><topic>Carotid Artery, Internal, Dissection - pathology</topic><topic>Carotid Artery, Internal, Dissection - physiopathology</topic><topic>Central Nervous System Vascular Malformations - diagnostic imaging</topic><topic>Central Nervous System Vascular Malformations - pathology</topic><topic>Central Nervous System Vascular Malformations - physiopathology</topic><topic>Cerebral Angiography</topic><topic>Embolization, Therapeutic - instrumentation</topic><topic>Embolization, Therapeutic - methods</topic><topic>Endovascular</topic><topic>Female</topic><topic>Geniculate Bodies - blood supply</topic><topic>Globus Pallidus - blood supply</topic><topic>Humans</topic><topic>Internal Capsule - blood supply</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Intracranial Aneurysm - pathology</topic><topic>Intracranial Aneurysm - physiopathology</topic><topic>Medial origin</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Syncope - etiology</topic><topic>Treatment Outcome</topic><topic>Variation</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Visual Pathways - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hammers, Ronald</creatorcontrib><creatorcontrib>Hacein-Bey, Lotfi</creatorcontrib><creatorcontrib>Origitano, Thomas C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hammers, Ronald</au><au>Hacein-Bey, Lotfi</au><au>Origitano, Thomas C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anomalous medial origin of the anterior choroidal artery with associated aneurysm</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>2009-12-15</date><risdate>2009</risdate><volume>287</volume><issue>1</issue><spage>250</spage><epage>252</epage><pages>250-252</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>Abstract Injury to the anterior choroidal artery (AchA) can be devastating owing to the importance of the territory it supplies. The AchA is a known site of aneurysm formation, and is often exposed during various surgical and endovascular procedures. We report a patient with an aneurysm at the origin of the AchA, and an anomalous medial take off of the artery from the internal carotid artery, then a sharp lateral turn followed by a normal course toward the choroidal fissure, unreported to date to our knowledge. The aneurysm was treated successfully by endovascular therapy. The typical anatomy of the AchA, and reported variations in its origin are discussed. Thorough knowledge of the normal cerebrovascular anatomy and attention to variations play an important role in the successful management of patients with neurological vascular conditions.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>19775702</pmid><doi>10.1016/j.jns.2009.09.001</doi><tpages>3</tpages></addata></record> |
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| subjects | Aneurysm Anterior choroidal artery Biological and medical sciences Brain Infarction - pathology Brain Infarction - physiopathology Brain Infarction - prevention & control Carotid Artery, Internal - abnormalities Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - pathology Carotid Artery, Internal, Dissection - diagnostic imaging Carotid Artery, Internal, Dissection - pathology Carotid Artery, Internal, Dissection - physiopathology Central Nervous System Vascular Malformations - diagnostic imaging Central Nervous System Vascular Malformations - pathology Central Nervous System Vascular Malformations - physiopathology Cerebral Angiography Embolization, Therapeutic - instrumentation Embolization, Therapeutic - methods Endovascular Female Geniculate Bodies - blood supply Globus Pallidus - blood supply Humans Internal Capsule - blood supply Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - pathology Intracranial Aneurysm - physiopathology Medial origin Medical sciences Middle Aged Neurology Syncope - etiology Treatment Outcome Variation Vascular diseases and vascular malformations of the nervous system Visual Pathways - blood supply |
| title | Anomalous medial origin of the anterior choroidal artery with associated aneurysm |
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