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Coil embolization of ruptured frontopolar artery aneurysm: Case report

Institution:	1. Departamento de Neurocirugía, Hospital 12 de Octubre, Madrid, Spain;2. Departamento de Radiología, Hospital 12 de Octubre, Madrid, Spain;1. Department of Neurosurgery, Osaka Neurological Institute, Toyonaka, Japan;2. Department of Emergency and Critical Care, Osaka General Medical Center, Osaka, Japan;3. Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan;4. Department of Clinical Epidemiology and Biostatistics, Osaka University Graduate School of Medicine, Suita, Japan;6. Department of Neurosurgery, Osaka University Graduate School of Medicine, Suita, Japan;5. Department of Medical Innovation, Osaka University Hospital, Suita, Japan;1. Department of Neurosurgery, 12 de Octubre University Hospital, Complutense University, Madrid, Spain;2. Clinical Research Unit, IMAS12-CIBERESP, 12 de Octubre University Hospital, Madrid, Spain;1. Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;2. Department of Neurosurgery, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway;3. Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway;4. Department of Anesthesiology and Intensive Care Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway;5. Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway;6. Department of Medical Imaging, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway

Abstract:	Distal anterior cerebral artery aneurysms are infrequent. The most common location is at the bifurcation of the pericallosal and callosomarginal arteries. Cerebral artery anomalies can sometimes, at least partially, explain aneurysm formation in less common locations in relation to hemodynamic stress caused on the vascular wall. We report a very rare case of subarachnoid hemorrhage due to a ruptured frontopolar artery aneurysm as a part of an anomalous anterior cerebral artery complex that was, for the first time, treated with endovascular coiling.

Keywords:	Subarachnoid hemorrhage Frontopolar artery Aneurysm Endovascular treatment Hemodynamic stress Cerebral vascular anomaly Hemorragia subaracnoidea Arteria frontopolar Aneurisma Tratamiento endovascular Estrés hemodinámico Variante anatómica vascular
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