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A large anomalous anterior choroidal artery associated with internal carotid artery-posterior communicating artery aneurysm.
Authors:Torn Koyama M.D.  Hirohiko Gibo  Shigeaki Kobayashi
Affiliation:(1) Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, 390 Matsumoto, Japan;(2) Showa-Inan General Hospital Neurosurgical Service, Komagane, Japan
Abstract:A case of a large anomalous anterior choroidal artery (AchA) associated with internal carotid artery-posterior communicating artery aneurysm is reported. At surgery, the large anomalous AchA mimicked the PcomA. Therefore, we initially mistook the large anomalous AchA for the PcomA, and the ICA-PcomA aneurysm for the dorsal ICA aneurysm arising at a location of other than an arterial division. This is a rare case of an anomaly of the AchA with an associated aneurysm found at surgery. Anatomical and surgical considerations are made.
Keywords:Anterior choroidal artery  arterial anomaly  cerebral aneurysm
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