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2021, Number 2

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Arch Neurocien 2021; 26 (2)

Subcallosal artery: Identification prior to treatment. About a case and review of the literature

Gallo-Guerrero M, Joya-Ruvalcaba D, Badallo-Rivas G
Full text How to cite this article

Language: Spanish
References: 9
Page: 30-33
PDF size: 277.98 Kb.


Key words:

anterior communicating artery, cognitive impairment, corpus callosum, fornix, subcallosal artery.

ABSTRACT

The subcallosal artery is the longest perforating artery of the anterior communicating artery (AcoA).
Despite its great importance and being present in 50 to 79 percent of patients, it is little described in the literature. It is essential to identify prior to endovascular or surgical procedures, because the lesion of this artery will produce a bilateral infarction of the subcallosal region and causing a severe cognitive impairment and alteration of anterograde memory, known as “subcallosal amnesic syndrome”.
We present the case of a patient with a peri callosal arteriovenous malformation with identification of the Subcallosal artery prior to treatment as the only afferent. It is often difficult to identify this artery on images and its prior visualization could prevent significant sequalae in patients. Conclusion: The subcallosal artery is the most important perforating artery in the communicating artery, therefore its identification prior to treatment is essential.


REFERENCES

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  2. Chenin L, Kaoudi A, Foulon P, Havet E, Peltier J. Microsurgical anatomy of the subcallosal artery. Surg Radiol Anat. 2019; 41(9):1037-1044. DOI: 10.1007/s00276-019-02279-8

  3. Najera E, Gardner PA, Fernandez-miranda JC. Surgical Anatomy of the Subcallosal Artery : Implications for Transcranial and Endoscopic Endonasal Surgery in the Suprachiasmatic Region. 2019;17(1):79-87. DOI: 10.1093/ons/opy276

  4. Yasargil MG, Smith RD, Young PH TP. Anterior Cerebral and Anterior Communicating Artery Aneurysms. Vol 2.; 1984.

  5. Matsushige T, Chen B, Dammann P, Johst S, Wrede KH. Microanatomy of the subcallosal artery : an in-vivo 7 T magnetic resonance angiography study. 2015. doi:10.1007/s00330-015- 4117-1

  6. Krayenbühl HA YM. Radiological anatomy and topography of the cerebral vessels. In: Cerebral angiography. Lippincott,. second:20-84.

  7. Ture UYGKA. The Arteries of the Corpus Callosum: A Microsurgical Anatomic Study. Neurosurgery. 1996;39:1075-1085.

  8. Mugikura S, Kikuchi H, Fujimura M, Mori E, Takahashi S, Takase K. Subcallosal and Heubner artery infarcts following surgical repair of an anterior communicating artery aneurysm : a causal relationship with postoperative amnesia and long ‑ term outcome. Jpn J Radiol. 2017;(0123456789). doi:10.1007/s11604-017- 0703-2

  9. Pardina-vilella L, Pinedo-brochado A, Vicente I, Bocos-portillo J, Martínez-arroyo A, García-moncó JC. The goblet sign in the amnestic syndrome of the subcallosal artery infarct. 2018:2-4.




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Arch Neurocien. 2021;26