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Papers of the Week

2019 Oct

World Neurosurg


Case of Recurrent Artery of Heubner Aneurysm Masquerading as a Partially Thrombosed A1 Aneurysm Radiologically.


Khoo J, Khoo B, Alalade AF, Webster J
World Neurosurg. 2019 Oct; 130:444-449.
PMID: 31349077.


Recurrent Artery of Heubner aneurysms are very rare, with only seven reported cases in the literature to date. In evaluating cerebral aneurysms, cerebral Digital Subtraction Angiogram (DSA) is considered the gold standard, and demonstrated the RAH aneurysms in previous case reports. We present a case of spontaneous subarachnoid haemorrhage (SAH) secondary to RAH aneurysmal rupture, with initial DSA misleading, suggesting minor aneurysmal filling of a presumed thrombosed A1 segment aneurysm instead.