Multimodality Treatment of an Unruptured Duplicated Middle Cerebral Artery Aneurysm: A Case Report and Literature Review
نویسندگان
چکیده
A duplicated middle cerebral artery (DMCA) aneurysm is characterized by the presence of an aneurysm at the bifurcation of the original and duplicated middle cerebral arteries. The authors reported a very rare case that had a DMCA aneurysm and underwent multimodality treatment. The patient was 49-year-old male and presented with headache. His examinations revealed an aneurysm at the origin of the DMCA. The aneurysm was treated with surgical clipping under the endoscope-assisted microsurgery-integrated indocyanine green video-angiography. The patient was uneventful and discharged on postoperative day 10. That is the first case reported in the literature having such aneurysms treated with multimodality treatment.
منابع مشابه
Unruptured Middle Cerebral Artery Aneurysm in a Patient with Systemic Lupus Erthematosus: A Diagnostic Challenge
A 22-year-old female patient presented to the Emergency Department of a tertiary care hospital with symptoms of headache and nausea. She has been on a regular follow-up for the preceding three and a half years after being diagnosed as systemic lupus erythematosus (SLE). She had been treated earlier for SLE nephritis in the same institution, and had two relapses of nephrotic syndrome in the last...
متن کاملUnruptured Aneurysm at the Origin of the Duplicated Middle Cerebral Artery Treated by Coil Embolization: A Case Report
Aneurysm at the origin of a duplication of the middle cerebral artery (DMCA) is very rare, and only 29 treated cases have been reported. All of the cases were treated by direct surgery except a ruptured case treated by intentional partial coil embolization. We report the first unruptured case treated by coil embolization and review the previously published cases. Coil embolization can be altern...
متن کاملAneurysm at origin of duplicated middle cerebral artery associated with another aneurysm
BACKGROUND A duplicated middle cerebral artery (DMCA) is a rare vessel anomaly. Aneurysms at the origin of DMCA have been reported. CASE DESCRIPTION We report 2 cases of aneurysms at the origin of DMCA accompanied by aneurysms at different sites. Each case of ruptured and unruptured aneurysm at the DMCA origin was associated with an unruptured aneurysm at the ipsilateral internal carotid arte...
متن کاملSuccessful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
Purpose. To report a case of successful thrombolysis performed in a patient with an incidental unruptured intracranial aneurysm and review the literature. Case Report. Patient admitted for ischemic stroke due to left posterior cerebral artery occlusion, with an incidental right middle cerebral artery aneurysm, who underwent treatment with tissue plasminogen activator (rtPA) resulting in clinica...
متن کاملDelayed symptomatic vasospasm after clipping of an unruptured intracranial aneurysm: case report and literature review
Symptomatic vasospasm after clipping of unruptured intracranial aneurysms is a rare phenomenon. Herein, a case of delayed symptomatic vasospasm that developed after clipping of a middle cerebral artery aneurysm is reported. The experience in treatment is introduced, and relevant literature is reviewed to investigate the potential pathogenesis. A 50-year-old male was diagnosed with an unruptured...
متن کامل