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Duplicated middle cerebral artery origin with an aneurysm
Hecheng Ren1, Lin Ma, Ming Wei
1Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.
Medicine
|March 1, 2018
Summary
Rare middle cerebral artery (MCA) anomalies can lead to aneurysms. This case highlights a duplicated MCA origin with an aneurysm, treated successfully with endovascular embolization, emphasizing the importance of recognizing complex angioarchitecture.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Middle cerebral artery (MCA) anomalies are uncommon and frequently associated with aneurysms.
- Understanding these anomalies is crucial for managing complex cerebrovascular cases.
- Aneurysms linked to accessory or duplicated MCA typically occur at their origin.
Observation:
- A 59-year-old male presented with a 10-day headache.
- CT revealed an intracerebral hematoma in the right frontal lobe.
- DSA identified a duplicated right MCA origin with an aneurysm on the accessory trunk.
Findings:
- A ruptured aneurysm associated with a duplicated MCA origin was diagnosed.
- The patient opted for endovascular coil embolization over open surgery.
- Postoperative recovery was uneventful with no rebleeding at 8-month follow-up.
Implications:
- MCA anomalies are rare but significant, often presenting with complex vascular lesions.
- Familiarity with anomalous MCA angioarchitecture is essential for effective diagnosis and treatment.
- Aneurysms arising from anomalous MCA trunks are rare and may necessitate surgical consideration.
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