Spontaneous Dissecting Aneurysm of Middle Cerebral Artery: A Case Report with Review of the Literature

L. Ning; Yoko Kato; H. Sano; R. B.R. Nair; M. Yoneda; S. Watanabe; T. Kanno

doi:10.1055/s-2003-812503

Spontaneous Dissecting Aneurysm of Middle Cerebral Artery: A Case Report with Review of the Literature

L. Ning, Yoko Kato, H. Sano, R. B.R. Nair, M. Yoneda, S. Watanabe, T. Kanno

Research output: Contribution to journal › Review article › peer-review

8 Citations (Scopus)

Abstract

We report a case of a dissecting aneurysm of the middle cerebral artery (MCA) and its treatment strategies. A 50-year-old male patient presented with occipital and neck pain for 2 days. CT scan revealed subarachnoid hemorrhage (SAH) in the region of the right sylvian fissure. A left carotid angiogram showed a dissecting aneurysm of the left MCA (MI). He was treated surgically by a pterional trans-sylvian approach. Clipping was done along with additional reinforcement by wrapping to completely obliterate the neck of the aneurysm. On reviewing the literature, we think that dissecting aneurysms seem to be one of the important causes of SAH and cerebral infarction of unverified origin. If an MCA dissecting aneurysm is identified, especially located in the proximal portion, surgical treatment must be considered. These patients merit a close follow-up.

Original language	English
Pages (from-to)	357-360
Number of pages	4
Journal	Minimally Invasive Neurosurgery
Volume	46
Issue number	6
DOIs	https://doi.org/10.1055/s-2003-812503
Publication status	Published - 12-2003

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1055/s-2003-812503

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title = "Spontaneous Dissecting Aneurysm of Middle Cerebral Artery: A Case Report with Review of the Literature",

abstract = "We report a case of a dissecting aneurysm of the middle cerebral artery (MCA) and its treatment strategies. A 50-year-old male patient presented with occipital and neck pain for 2 days. CT scan revealed subarachnoid hemorrhage (SAH) in the region of the right sylvian fissure. A left carotid angiogram showed a dissecting aneurysm of the left MCA (MI). He was treated surgically by a pterional trans-sylvian approach. Clipping was done along with additional reinforcement by wrapping to completely obliterate the neck of the aneurysm. On reviewing the literature, we think that dissecting aneurysms seem to be one of the important causes of SAH and cerebral infarction of unverified origin. If an MCA dissecting aneurysm is identified, especially located in the proximal portion, surgical treatment must be considered. These patients merit a close follow-up.",

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AU - Sano, H.

AU - Nair, R. B.R.

AU - Yoneda, M.

AU - Watanabe, S.

AU - Kanno, T.

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N2 - We report a case of a dissecting aneurysm of the middle cerebral artery (MCA) and its treatment strategies. A 50-year-old male patient presented with occipital and neck pain for 2 days. CT scan revealed subarachnoid hemorrhage (SAH) in the region of the right sylvian fissure. A left carotid angiogram showed a dissecting aneurysm of the left MCA (MI). He was treated surgically by a pterional trans-sylvian approach. Clipping was done along with additional reinforcement by wrapping to completely obliterate the neck of the aneurysm. On reviewing the literature, we think that dissecting aneurysms seem to be one of the important causes of SAH and cerebral infarction of unverified origin. If an MCA dissecting aneurysm is identified, especially located in the proximal portion, surgical treatment must be considered. These patients merit a close follow-up.

AB - We report a case of a dissecting aneurysm of the middle cerebral artery (MCA) and its treatment strategies. A 50-year-old male patient presented with occipital and neck pain for 2 days. CT scan revealed subarachnoid hemorrhage (SAH) in the region of the right sylvian fissure. A left carotid angiogram showed a dissecting aneurysm of the left MCA (MI). He was treated surgically by a pterional trans-sylvian approach. Clipping was done along with additional reinforcement by wrapping to completely obliterate the neck of the aneurysm. On reviewing the literature, we think that dissecting aneurysms seem to be one of the important causes of SAH and cerebral infarction of unverified origin. If an MCA dissecting aneurysm is identified, especially located in the proximal portion, surgical treatment must be considered. These patients merit a close follow-up.

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Spontaneous Dissecting Aneurysm of Middle Cerebral Artery: A Case Report with Review of the Literature

Abstract

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