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Updated: Jul 15, 2025

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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
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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.
- Rete MCA, a rare variant, involves immature "unfused" or "twig-like" vessels.
- These immature vessels are susceptible to developing flow-related aneurysms.

