In two patients with aneurysms of the anterior communicating artery it was necessary to ligate the anterior cerebral arteries proximal and distal to the sac. Both patients were conscious and alert immediately following recovery from anesthesia. It has been reported that ligation of both anterior cerebral arteries near or at their origin from the internal carotid arteries results in a fatality with or without immediate postoperative unconsciousness. This paper reviews these experiences toward accumulating more data pertaining to the surgical treatment of aneurysms of the anterior communicating artery.
REPORT OF CASES
M. M., a 40-year-old Negro woman, was admitted in a semiconscious state. There was a history of an automobile accident five years earlier with no serious head injury. However, subsequently she complained of right-sided headaches intermittently. Ten days before admission the headaches became severer and were associated with vomiting. Five days before admission there was numbness of
GURDJIAN ES, WEBSTER JE. Blood Chemistry Studies in Bilateral Ligation of Anterior Cerebral Arteries. AMA Arch NeurPsych. 1955;73(3):309–315. doi:10.1001/archneurpsyc.1955.02330090055006
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