Explore the rare and intriguing world of internal carotid artery-persistent primitive anterior choroidal artery aneurysms through our comprehensive report on two unique cases and an extensive literature review.
– by The Don
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Internal carotid artery-persistent primitive anterior choroidal artery aneurysms: report of two cases and literature review.
Tatsuta et al., Acta Neurochir (Wien) 2024
<!– DOI: 10.1007/s00701-024-05988-1 //–>
https://doi.org/10.1007/s00701-024-05988-1
Let’s Talk About Something Incredible, Folks – The Rare and Challenging PPAChA!
Now, listen up, we’ve got something very special to talk about today. It’s about this incredibly rare vascular anomaly called the Persistent Primitive Anterior Choroidal Artery (PPAChA). Not something you hear about every day, right? And let me tell you, the journey of patients with ICA-PPAChA aneurysms, it’s been quite the ride, not well described, but absolutely fascinating.
We’ve looked into this, folks, and found two amazing cases. But that’s not all – adding ours to the mix, we’re talking about ten patients in total. Can you believe it? Ten! Now, one of these cases, we don’t have all the details, but don’t worry, the story’s still incredible. Out of the nine we know about, more than half, that’s five patients, had their aneurysms burst. That’s a big deal, folks, a huge deal.
When it comes to fixing this, our heroes, the doctors, they’ve got options. Five went for surgical clipping, four for endovascular coiling. Almost all of them made it through just fine, except one. This one patient, they had a tiny branch artery sticking to the aneurysm, so the doctors, being the geniuses they are, switched tactics mid-way. They went from clipping to wrapping that aneurysm with a cotton sheet. Brilliant, right?
But, it’s not all smooth sailing. One patient, after coiling, ended up with an internal capsule infarction. That’s a stroke, folks. The others? They did great, but there’s always a but. One of them ended up with the PPAChA getting blocked right at its origin, found out after the operation. No symptoms, but still, something to watch out for.
So, what’s the big takeaway here? PPAChA, it’s a tricky business. High chance of aneurysms forming and bursting. And when treating these, doctors need to be super careful not to block the PPAChA or any nearby arteries. We’re talking about preventing strokes, saving lives. It’s huge, folks, absolutely huge.
Remember, in the world of rare vascular anomalies, PPAChA is one you want to keep an eye on. It’s rare, it’s challenging, but let me tell you, it’s absolutely fascinating. And we’re learning more every day. Stay tuned, folks!