Endovascular treatment of an “anterior cerebral artery” aneurysm in a patient with “embryonic unfused middle cerebral artery” anomaly: a case report

被引:0
作者
H. Saruhan Cekirge
Bora Peynircioglu
Isil Saatci
机构
[1] Hacettepe University,Department of Radiology, Faculty of Medicine
来源
Neuroradiology | 2005年 / 47卷
关键词
Aneurysm; Endovascular treatment; Remodeling; Middle cerebral artery; Anomaly;
D O I
暂无
中图分类号
学科分类号
摘要
We report a unique case of an anterior cerebral artery aneurysm in a patient with embryonic unfused middle cerebral artery anomaly. The arterial twigs of the middle cerebral artery supply the entire middle cerebral artery territory including the lenticulostriate branches. There was a vessel incorporated into the aneurysm, which was referred to as an accessory middle cerebral artery and it gave rise to a lenticulostriate branch. The aneurysm was occluded with detachable coils using a remodeling technique. After successful occlusion of the aneurysm the so-called accessory middle cerebral artery including its lenticulostriate branch started to fill from the anomalous middle cerebral artery network and the patient did not experience any ischemic injury.
引用
收藏
页码:690 / 694
页数:4
相关论文
共 81 条
  • [1] Sanders WP(1993)Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies AJNR Am J Neuroradiol 14 675-680
  • [2] Sorek PA(2002)Magnetic resonance angiographic evidence of sex-linked variations in the circle of Willis and the occurrence of cerebral aneurysms J Neurosurg 96 697-703
  • [3] Mehta BA(1959)Anatomical studies of the circle of Willis in normal brain Arch Neurol Psychiatry 81 409-418
  • [4] Horikoshi T(1973)Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation Am J Radiol AJR 118 567-575
  • [5] Akiyama I(1988)Anomalies and variations of the middle cerebral artery: a microanatomical study Neurosurgery 22 1023-1027
  • [6] Yamagata Z(1984)Microsurgical anatomy of the proximal segments of the middle cerebral artery J Neurosurg 61 458-467
  • [7] Sugita M(1992)Accessory middle cerebral artery and duplication of middle cerebral artery—terminology, incidence, vascular etiology, and developmental significance Neurol Med Chir (Tokyo) 32 262-267
  • [8] Nukui H(1984)The accessory middle cerebral artery (AMCA). Diagnostic and therapeutic consequences Anat Clin 6 305-309
  • [9] Alpers BJ(1948)The development of the cranial arteries in the human embryo Contr Embryol Carneg Instn 32 205-261
  • [10] Berry RG(1976)Association of middle cerebral artery anomalies with saccular aneurysms and Moyamoya disease Surg Neurol 6 39-43