Saccular cerebral aneursym (A-Comm)

Case contributed by Dr Dalia Ibrahim

Presentation

Worst headache in life.

Patient Data

Age: 55 years old
Gender: Male
Modality: CT

Bilobed saccular aneurysm of the anterior communicating artery opposite the origin of the left anterior cerebral artery, it measures about 1 x 0.3 cm, it has a narrow neck measuring about 3mm, with its fundus projecting anteriorly and inferiorly. No thrombosis or contrast extravasation. 

 Attenuated/spastic proximal segments of the right A1 and both A2 segments.

Dominant left vertebral artery.

Hypoplastic right P1 segment with continuation of the right PCOM artery (feral origin, which is a normal variant).

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Case Information

rID: 29324
Case created: 16th May 2014
Last edited: 23rd Mar 2017
System: Vascular
Inclusion in quiz mode: Included

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