Treatment of unruptured aneurysm of duplication of the middle cerebral artery--case report

Neurol Med Chir (Tokyo). 2010;50(2):124-6. doi: 10.2176/nmc.50.124.

Abstract

A 60-year-old woman presented with a rare unruptured aneurysm of duplication of the middle cerebral artery (DMCA) identified at examination for headache. Preoperative cerebral angiography revealed the DMCA and a small aneurysm at its origin. Surgical clipping was performed successfully via the trans-sylvian approach. DMCA aneurysms have a tendency to bleed even if small, but the anatomical configuration causes some technical difficulties.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction / methods
  • Cerebral Angiography / methods
  • Craniotomy / methods
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging*
  • Intracranial Aneurysm / pathology*
  • Intracranial Aneurysm / surgery
  • Middle Aged
  • Middle Cerebral Artery / abnormalities*
  • Middle Cerebral Artery / diagnostic imaging*
  • Middle Cerebral Artery / surgery
  • Neurosurgical Procedures / instrumentation
  • Neurosurgical Procedures / methods*
  • Secondary Prevention
  • Sphenoid Bone / anatomy & histology
  • Sphenoid Bone / surgery
  • Surgical Instruments
  • Temporal Bone / anatomy & histology
  • Temporal Bone / surgery
  • Temporal Lobe / anatomy & histology
  • Temporal Lobe / surgery
  • Treatment Outcome
  • Vascular Surgical Procedures / instrumentation
  • Vascular Surgical Procedures / methods*