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Autopsy case of a giant aneurysm of the anterior communicating artery. Correlation of CT findings and angiographic findings

Journal Article:

Abstract

A 64-year-old female was admitted to the hospital with a history of three previous subarachnoid hemorrhages. Neurological examinations revealed incontinentia urinae, gait disturbance, recent memory disturbance and motor weakness on the left side. Plain X-ray films showed a ring-like calcification in the right frontal region. A plain CT scan showed a ring-shaped iso- and high-density area in the intra hemispheric region, the intra bilateral anterior horn of the lateral ventricle, the intra septum pellucidum, and the intra anterior part of the third ventricle. Left carotid angiography showed a large aneurysmal shadow arising from the anterior communicating artery and another from the left middle cerebral artery. In the venous phase the venous angle was supero-posteriorly shifted, and the septal vein was elevated. She died unexpectedly with a status epilepticus of unknown origin. An autopsy specimen revealed that a giant aneurysm occupied the intra ventricular space, the anterior horn of the lateral ventricle, and the right thalamic region. Also, there was a large berry aneurysm arising from the middle cerebral artery. A coronary section through the giant aneurysm showed a markedly compressed left lateral ventricle, right thalamus, and hypothalamus, while the third ventricle had shifted toward the left side.
Publication Date:
Jun 01, 1983
Product Type:
Journal Article
Reference Number:
AIX-16-045635; EDB-85-116675
Resource Relation:
Journal Name: CT Kenkyu; (Japan); Journal Volume: 5:3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CEREBRUM; BIOMEDICAL RADIOGRAPHY; CAT SCANNING; VASCULAR DISEASES; DIAGNOSIS; ARTERIES; AUTOPSY; COMPARATIVE EVALUATIONS; HEMORRHAGE; IMAGES; PATIENTS; BLOOD VESSELS; BODY; BRAIN; CARDIOVASCULAR SYSTEM; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; MEDICINE; NERVOUS SYSTEM; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; RADIOLOGY; SYMPTOMS; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5676752
Research Organizations:
Tokyo Metropolitan Hospital of Okubo, Japan
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: CTKED
Submitting Site:
HEDB
Size:
Pages: 350-354
Announcement Date:

Journal Article:

Citation Formats

Shinmura, Fujio, Takayasu, Kenji, Ohiwa, Yasuyuki, Sakata, Ryuichi, and Ariwa, Rokuro. Autopsy case of a giant aneurysm of the anterior communicating artery. Correlation of CT findings and angiographic findings. Japan: N. p., 1983. Web.
Shinmura, Fujio, Takayasu, Kenji, Ohiwa, Yasuyuki, Sakata, Ryuichi, & Ariwa, Rokuro. Autopsy case of a giant aneurysm of the anterior communicating artery. Correlation of CT findings and angiographic findings. Japan.
Shinmura, Fujio, Takayasu, Kenji, Ohiwa, Yasuyuki, Sakata, Ryuichi, and Ariwa, Rokuro. 1983. "Autopsy case of a giant aneurysm of the anterior communicating artery. Correlation of CT findings and angiographic findings." Japan.
@misc{etde_5676752,
title = {Autopsy case of a giant aneurysm of the anterior communicating artery. Correlation of CT findings and angiographic findings}
author = {Shinmura, Fujio, Takayasu, Kenji, Ohiwa, Yasuyuki, Sakata, Ryuichi, and Ariwa, Rokuro}
abstractNote = {A 64-year-old female was admitted to the hospital with a history of three previous subarachnoid hemorrhages. Neurological examinations revealed incontinentia urinae, gait disturbance, recent memory disturbance and motor weakness on the left side. Plain X-ray films showed a ring-like calcification in the right frontal region. A plain CT scan showed a ring-shaped iso- and high-density area in the intra hemispheric region, the intra bilateral anterior horn of the lateral ventricle, the intra septum pellucidum, and the intra anterior part of the third ventricle. Left carotid angiography showed a large aneurysmal shadow arising from the anterior communicating artery and another from the left middle cerebral artery. In the venous phase the venous angle was supero-posteriorly shifted, and the septal vein was elevated. She died unexpectedly with a status epilepticus of unknown origin. An autopsy specimen revealed that a giant aneurysm occupied the intra ventricular space, the anterior horn of the lateral ventricle, and the right thalamic region. Also, there was a large berry aneurysm arising from the middle cerebral artery. A coronary section through the giant aneurysm showed a markedly compressed left lateral ventricle, right thalamus, and hypothalamus, while the third ventricle had shifted toward the left side.}
journal = {CT Kenkyu; (Japan)}
volume = {5:3}
journal type = {AC}
place = {Japan}
year = {1983}
month = {Jun}
}