Case Report: CASE OF ANTERIOR COMMUNICATING ARTERY (A.C.O.M.) ANEURYSM

Anterior communicating artery (ACOM) aneurysms represent 23-40% of cerebral aneurysms and 12-15% of unruptured aneurysms, with a higher risk of rupture compared to other cerebral aneurysms. This case report presents a 56-year-old female admitted to a private hospital with acute headache and nausea, subsequently diagnosed with an ACOM aneurysm. The patient had no significant medical history, belonged to an intergenerational family, and maintained good mental health. Physical examination revealed a woman of thin frame (152 cm, 51 kg) with normal vital signs. Laboratory findings indicated low hemoglobin (7.5 g/dl), elevated sodium (19.1 mcg/dl), high creatinine (5.4 mcg), and elevated calcium (11.5 mcg/dl). Treatment included ondansetron, hydrochlorothiazide, potassium citrate, and alpha-blockers. The case highlights the importance of prompt intervention for ACOM aneurysms regardless of size, along with the necessity of comprehensive postoperative monitoring to detect complications such as bleeding and neurological impairments. Postoperative imaging is crucial to assess clipping effectiveness and monitor for potential complications.