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Updated: Jul 15, 2025

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

Rete middle cerebral artery presenting with a ruptured aneurysm.

D K Singh¹, D Shankar, K Yadav

¹Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Journal of Postgraduate Medicine

|October 3, 2023

Summary

Rete middle cerebral artery (MCA) anomaly is rare, with immature vessels prone to aneurysms. This case highlights a ruptured rete MCA aneurysm presenting as intraparenchymal hematoma, discussing its unique pathophysiology and management.

Area of Science:

Neurology
Vascular Neurology
Cerebrovascular Diseases

Background:

Developmental anomalies of the middle cerebral artery (MCA) are uncommon.

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Rete MCA, a rare variant, involves immature "unfused" or "twig-like" vessels.

These immature vessels are susceptible to developing flow-related aneurysms.