- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
(p. 25) Incidental Anterior Communicating Artery Aneurysm
- Chapter:
- (p. 25) Incidental Anterior Communicating Artery Aneurysm
- Author(s):
Kurt Yaeger
and J. Mocco
- DOI:
- 10.1093/med/9780190887728.003.0004
Abstract: Anterior communicating artery aneurysms are among the most commonly encountered aneurysms in neurosurgical practice. While many are treatable using modern endovascular techniques, because of their often complex anatomy, both ruptured and unruptured anterior communicating artery aneurysms often require microsurgical treatment. Pre-operative analysis of the collateral circulation, the aneurysm orientation, the aneurysm height, morphology, and the dome-to-neck ratio can all affect decision-making. For unruptured aneurysms, a careful analysis of the natural history of rupture risk versus the risks of surgery or endovascular treatment will determine if treatment is recommended and what modality. At surgery, perforating artery preservation is of utmost importance. This chapter discusses these issues as considered in the management of an incidental, unruptured anterior communicating artery aneurysm.
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- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
