title: Dolichoectasic anterior cerebral artery and hemodynamics.
abstract: Dolichoectasia of the intracranial arteries is a rare condition, and the vertebrobasilar system and the internal carotid artery are the most commonly involved structures. We report a rare case of idiopathic dolichoectasia of the anterior cerebral artery in a 22-year-old female. The patient caused an automobile accident and was brought to our hospital in an ambulance. A computed tomography scan and magnetic resonance imaging revealed no fresh lesions, but showed a prominent serpentine structure with calcification and flow void in the region of the interhemispheric fissure, which was suspicious for arteriovenous malformation or arteriovenous fistula. Cerebral angiography demonstrated extensive dilatation of the anterior cerebral artery, but no evidence of arteriovenous malformation or arteriovenous fistula. Single photon emission computed tomography revealed hypoperfusion of the right frontal lobe at rest. Electroencephalography showed no epileptic discharge. The patient's course was uneventful, and she was discharged with no neurologic deficit. There are few reports of hemodynamic changes in cases of dolichoectasia. In the diagnosis of cerebral dolichoectasia, cerebral hemodynamics should be examined carefully in addition to evaluating vascular disease by angiography.
authors: Department of Neurosurgery, National Organization Nagasaki Medical Center, Nagasaki, Japan. kawahara@nmc.hosp.go.jp
authors: Ichiro
authors: I
authors: Kawahara
authors: Yoichi
authors: Y
authors: Morofuji
authors: Hideaki
authors: H
authors: Takahata
authors: Keisuke
authors: K
authors: Toda
authors: Keisuke
authors: K
authors: Tsutsumi
authors: Hiroshi
authors: H
authors: Baba
authors: Masahiro
authors: M
authors: Yonekura
mesh_terms: D020771:Anterior Cerebral Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000503:physiopathology*; D002533:Cerebral Angiography / Q000379:methods; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000503:physiopathology*; D038524:Diffusion Magnetic Resonance Imaging; D004108:Dilatation, Pathologic; D004569:Electroencephalography; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011237:Predictive Value of Tests; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D055815:Young Adult