Infundibular dilatation perforating vessel of anterior communicating artery
Issued Date
2022-01-01
Resource Type
eISSN
21527806
Scopus ID
2-s2.0-85142708839
Journal Title
Surgical Neurology International
Volume
13
Rights Holder(s)
SCOPUS
Bibliographic Citation
Surgical Neurology International Vol.13 (2022)
Suggested Citation
Vongsfak J. Infundibular dilatation perforating vessel of anterior communicating artery. Surgical Neurology International Vol.13 (2022). doi:10.25259/SNI_905_2022 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86248
Title
Infundibular dilatation perforating vessel of anterior communicating artery
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Background: Infundibular dilatation at cerebral arteries is primary located at the posterior communicating artery. This report describes a rare case of infundibular dilatation perforating the branch of an anterior communication artery (AcomA) which mimicked an AcomA aneurysm. Case Description: The 54-year-old female presented with acute headache in the left temporal area with the right hemianesthesia. The magnetic resonance imaging and magnetic resonance angiography of the brain revealed a small outpouching lesion arising from the medial wall of the proximal A2 of the left ACA presenting as a suspected AcomA aneurysm. The cerebral angiogram showed a funnel-shaped dilatation of the anterior communicating artery with a single perforating branch arising from a dome size 1.4 × 1.1 mm, compatible with an infundibular dilatation perforating a branch of the AcomA. Conclusion: The infundibular dilatation perforating vessel of AcomA is a rare condition and can mimic an AcomA aneurysm. Three-dimensional angiography helps to evaluate differentiation of the characteristics enabling accurate diagnosis.
