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Occlusion of the Middle Cerebral Artery Branch Mimicking Aneurysm

Lee, Jung-Hwan    (Department of Neurosurgery School of Medicine Pusan National University   ); Ko, Jun-Kyeung    (Department of Neurosurgery School of Medicine Pusan National University   ); Lee, Sang-Weon    (Department of Neurosurgery School of Medicine Pusan National University   ); Choi, Chang-Hwa    (Department of Neurosurgery School of Medicine Pusan National University  );
  • 초록

    A 26-year-old man was admitted to our department due to intermittent left hemiparesis for 3 months. Magnetic resonance Image showed subacute infarction in the right precentral gyrus. Digital subtraction angiography and magnetic resonance angiography revealed an aneurysmal protrusion at the right middle cerebral artery (MCA) bifurcation. It was difficult to differentiate the aneurysm from the occlusion of the middle trunk of the MCA trifurcation. Brain single photon emission computerized tomography showed a decrease in perfusion in the right posterior frontal lobe without vascular reserve. Therefore, we planned a superficial temporal artery MCA anastomosis with an exploration of the right MCA bifurcation. Intraoperatively, the aneurysmal opacification on preoperative angiography proved to be the proximal stump of the occluded middle trunk of the MCA trifurcation. An aneurysmal protrusion at the MCA bifurcation does not always indicate an aneurysm. In diagnosing protruding vascular lesions at the MCA bifurcation, the possibility of a vascular stump should be considered according to their angioanatomical appearance and the history of the patient.


  • 주제어

    Middle cerebral artery .   Aneurysm .   Occlusion.  

  • 참고문헌 (9)

    1. Alexander MS, Dias PS, Uttley D : Spontaneous subarachnoid hemorrhage and negative cerebral panangiography. Review of 140 cases. J Neurosurg 64: 537-542, 1986 
    2. Wakui K, Kamijo Y, Seguchi K, Sakai T: Thrombosed aneurysm of the middle cerebral artery with occlusion of the distal parent artery. Case report. Neurol Med Chir (Tokyo) 32: 842-845, 1992 
    3. Kalia KK, Pollack IF, Yonas H : A partially thrombosed fenestrated basilar artery mimicking an aneurysm of the vertebrobasilar junction. Case report. Neurosurgery 30: 276-278, 1992 
    4. Furuichi S, Endo S, Nisijima M, Takaku A : Dilated lesion at internal carotid artery posterior communicating artery junction. No Shinkei Geka 21 : 605-609, 1993 
    5. Kawanishi M, Sakaguchi I, Miyake H : Occlusion of the posterior communicating artery mimicking cerebral aneurysm. Case report. Neurol Res 25 : 543-545, 2003 
    6. Komiyama M, Ishiguro T, Morikawa T, Nishikawa M, Yasui T: Distal stump of an occluded intracranial vertebral artery at the vertebrobasilar junction mimicking a basilar arrery aneurysm. Acta Neurochir (Wien) 143: 1013-1017, 2001 
    7. Nakano S, Yokogami K, Ohta H, Wakisaka S : A stump of occluded posterior cerebral artery mimicking a ruptured aneurysm. Case report. Int J Angiol 9: 51-52, 2000 
    8. Endo S, Furuichi S, Takaba M, Hirashimo Y, Nishijima M, Takaku A : Clinical study of enlarged infundibular dilation of the origin of the posterior communicating artery. J Neurosurg 83 : 421-425, 1995 
    9. Iwanaga H, Wakai S, Ochiai C, Narita J, Inoh S, Nagai M: Ruptured cerebral aneurysms missed by initial angiographic study. Neurosurgery 27: 45-51, 1990 

 저자의 다른 논문

  • Lee, Jung-Hwan (1)

    1. 2010 "Transient Global Aphasia with Hemiparesis Following Cerebral Angiography : Relationship to Blood Brain Barrier Disruption" Journal of Korean Neurosurgical Society = 대한신경외과학회지 48 (6): 524~527    
  • Ko, Jun-Kyeung (22)

  • Lee, Sang-Weon (21)

  • Choi, Chang-Hwa (57)

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