TY - JOUR
T1 - Spontaneous Dissecting Aneurysm of Middle Cerebral Artery
T2 - A Case Report with Review of the Literature
AU - Ning, L.
AU - Kato, Yoko
AU - Sano, H.
AU - Nair, R. B.R.
AU - Yoneda, M.
AU - Watanabe, S.
AU - Kanno, T.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/12
Y1 - 2003/12
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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U2 - 10.1055/s-2003-812503
DO - 10.1055/s-2003-812503
M3 - Review article
C2 - 14968404
AN - SCOPUS:1442340112
SN - 0946-7211
VL - 46
SP - 357
EP - 360
JO - Minimally Invasive Neurosurgery
JF - Minimally Invasive Neurosurgery
IS - 6
ER -