INTRODUCTION: This report describes a rare case of a distal middle cerebral artery (dMCA) aneurysm. PRESENTATION OF CASE: That developed a right intracerebral haematoma and subarachnoid haemorrhage. It was treated by surgical exploration and clipping via pterional approach. DISCUSSION: Clinical findings and surgical approaches of dMCA aneurysm are different from proximal middle cerebral artery (MCA) aneurysms. Microneurosurgical clipping is the most effective treatment of dMCA aneurysm. CONCLUSION: We comprehensively review the literature related to these rare aneurysms within the temporal lobe, surgical anatomy of the dMCA aneurysm.
INTRODUCTION: This report describes a rare case of a distal middle cerebral artery (dMCA) aneurysm. PRESENTATION OF CASE: That developed a right intracerebral haematoma and subarachnoid haemorrhage. It was treated by surgical exploration and clipping via pterional approach. DISCUSSION: Clinical findings and surgical approaches of dMCAaneurysm are different from proximal middle cerebral artery (MCA) aneurysms. Microneurosurgical clipping is the most effective treatment of dMCAaneurysm. CONCLUSION: We comprehensively review the literature related to these rare aneurysms within the temporal lobe, surgical anatomy of the dMCAaneurysm.
Authors: Reza Dashti; Juha Hernesniemi; Mika Niemelä; Jaakko Rinne; Martin Lehecka; Hu Shen; Hanna Lehto; Baki S Albayrak; Antti Ronkainen; Timo Koivisto; Juha E Jääskeläinen Journal: Surg Neurol Date: 2007-06