Lateral view of the left common carotid artery angiogram showing that the anomalous artery originated from the A1 segment, ran parallel to the ipsilateral pericallosal artery, branched into the front-orbital artery (black dotted arrows) and the frontopolar artery (black arrow), and terminated as the anterior internal frontal arteries (white arrow).

Lateral view of the left common carotid artery angiogram showing that the anomalous artery originated from the A1 segment, ran parallel to the ipsilateral pericallosal artery, branched into the front-orbital artery (black dotted arrows) and the frontopolar artery (black arrow), and terminated as the anterior internal frontal arteries (white arrow).

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Aneurysms of the A1 segment of the anterior cerebral artery tend to develop in combination with various vascular anomalies of the A1 segment. Arterial branches that originate from the A1 segment and perfuse cortical regions are known to be rare. In this report, we describe a 48-year-old woman who presented with a ruptured aneurysm at the origin of...

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Fenestration of the A1 segment of the anterior cerebral artery is a rare vascular anomaly with a high risk of saccular aneurysm at the proximal end of the A1 fenestration. These aneurysms have a high risk of rupture. However, conventional surgical clipping can be technically challenging due to the anatomical characteristics. We report a case of A1...