Dissecting aneurysm confined to the anterior cerebral artery

Dissecting aneurysm confined to the anterior cerebral artery (ACA) is extremely rare. Four patients presented with dissecting aneurysms confined to the ACA, two with cerebral infarctions in the territories of the ACA and two with subarachnoid haemorrhages. The two patients with infarction were treated by conservative therapy with anti-platelet therapy and the two patients with subarachnoid haemorrhage were treated by wrapping surgery in the early period after the ictus. Conservative treatment for patients with infarction and early wrapping surgery for patients with subarachnoid haemorrhage are recommended.