ACOM Or AcoA Flashcards
1
Q
Most common site for aSAH
A
ACOM
2
Q
ACOM anurysum present with
A
DI and hypothalamus dysfunction
3
Q
Location of vasospasm in ACOM
A
ACA bilateral ➡️ frontal syndrome
4
Q
Surgical approach ACOM
A
pterional
Sub frontal of aneurysms pointing ⬆️
anterior interhemispheric approach ( lowest 🧠 retraction) 🚫🚫 if pointing anteriorly
transcallosal approach
5
Q
Right vs left Pterional in ACOm
A
Right is usual except 🚨
Large acom pointing to the right : left > right
Dominant feeder from left : left > right
Additional left aneurysm
6
Q
1 ST CN seen in pterional apprach
A
Olfactory then optic
7
Q
Pterional apprach 🚨 Critical artery need to preserve
A
recurrent artery of Heubner; small ACoA perforators
