{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T01:37:59Z","timestamp":1776735479227,"version":"3.51.2"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1997,12]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            The aim of this retrospective multicenter study was to evaluate the outcome of distal anterior cerebral artery (DACA) aneurysms and to determine the incidence, causes, and consequences of unfavorable outcomes.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            43 patients with 50 DACA aneurysms (27 females and 16 males, mean age 49 years) were studied retrospectively. Forty-four DACA aneurysms were treated surgically (83% with an interhemispheric approach), and 2 were embolized. At postoperative day 10, all patients underwent routine angiography. The outcome at 6 to 12 months was scored according to the Glasgow Outcome Scale (GOS).\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            35 DACA aneurysms were ruptured. Among the 26 \u201cgood\u201d-grade patients (Hunt and Hess grades I through III), 18 (69.2%) were in GOS 1, 2 in GOS 2 (7.7%), 2 in GOS 3 (7.7%), and 4 in GOS 5 (15.4%); among the 9 \u201cpoor\u201d-grade patients (Hunt and Hess grades IV and V), 1 (11.1%) was in GOS 1, 2 in GOS 2 (22.2%), 2 in GOS 3 (22.2%), and 4 in GOS 5 (44.5%). The initial intracerebral hemorrhage (ICH) (40%) induced neurological aftereffects in 8 patients. An operative rupture occurred in 40%, with a temporary occlusion in 28.6% that was responsible for mediocre results in 3 patients (8.7%). A postoperative thrombosis was observed in 4 patients (11.4%) and an aneurysmal remnant in 1 (2.8%). Ten DACA unruptured aneurysms were clipped without operative rupture or thrombosis.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            The authors suggest that the proportion of ruptured DACA aneurysms evolving to a GOS 1 or 2 was similar to that of aneurysms found in other locations, after early surgery. Endovascular treatment should be considered in the management of uncommon ruptured fusiform DACA aneurysms.\n          <\/jats:p>","DOI":"10.1161\/01.str.28.12.2405","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"2405-2409","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":74,"title":["Outcome in 43 Patients With Distal Anterior Cerebral Artery Aneurysms"],"prefix":"10.1161","volume":"28","author":[{"given":"Franc\u0327ois","family":"Proust","sequence":"first","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Toussaint","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didier","family":"Hannequin","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Rabenenoi\u0308na","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Le Gars","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Fre\u0301ger","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, Rouen University Hospital, Rouen, France."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","first-page":"386","volume":"31","year":"1965","unstructured":"Wilson CB, Christensen FK, Subrahmanian MV. 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