scholarly journals Anterior Communicating Artery Aneurysm following Middle Cerebral Artery Stenosis

1984 ◽  
Vol 24 (3) ◽  
pp. 202-206
Author(s):  
Shoji TSUCHIMOTO ◽  
Tetsuya SHIRAISHI ◽  
Kohgo KINOSHITA
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Artery Stenosis ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm ◽  
Middle Cerebral Artery Stenosis

scholarly journals Rupture of a medial striate artery aneurysm associated with spontaneous middle cerebral artery stenosis

2017 ◽  
Vol 5 (5) ◽  
pp. 150-151
Author(s):  
Akihiko Mitsutake ◽  
Takuto Hideyama ◽  
Ryo Totsuka ◽  
Tatsuya Sato ◽  
Junko Katsumata ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Artery Stenosis ◽  
Middle Cerebral Artery Stenosis

A CASE OF MIDDLE CEREBRAL ARTERY INFARCT FOLLOWING UNEVENTFUL CLIPPING OF ANTERIOR COMMUNICATING ARTERY ANEURYSM

2021 ◽  
pp. 6-7
Author(s):  
T S Vasan ◽  
Rahul Vyas ◽  
Karan Mathur
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Anterior Communicating Artery ◽  
Left Middle Cerebral Artery ◽  
Middle Cerebral Artery Infarction ◽  
Anterior Communicating Artery Aneurysm ◽  
Ct Angiogram

Background: Aneurysms of the anterior communicating artery are the most frequently encountered intracerebral aneurysms in routine neurosurgical practice. Management of intracerebral aneurysm involves aneurysm clipping or endovascular coil aneurysm embolisation. However, to the best of our knowledge, there is no reported case of an isolated ipsilateral middle cerebral artery infarction following clipping of anterior communicating artery aneurysm. Case Description: A 65-year-old female with hypertension presented with a history of giddiness, fall and altered sensorium. The patient had a Glasgow Coma Scale (GCS) score of 12, and further investigation of the magnetic resonance imaging on suspicion of stroke revealed subarachnoid haemorrhage in the bilateral parietal sulcus, left Sylvain ssure, left ambient and quadrigeminal cisterns with intra-ventricular extension. The patient was subsequently referred for neurosurgery consultation. Computed tomography (CT) angiogram conrmed the presence of a ruptured anterior communicating artery aneurysm. The neurological assessment showed reduced responsiveness to verbal commands, with a Hunt and Hess score of 3. The patient underwent uneventful clipping of the aneurysm. Postoperatively, the patient did not wake up from anaesthesia and had persistently elevated blood pressure and right-sided hemiplegia. On the third day of postoperative care, a CT head scan revealed a left middle cerebral artery infarction with a midline shift. Decompressive craniotomy was performed, and following this procedure, the patient improved in sensorium with residual right-sided hemiplegia Conclusion: This case report presents an undetected new micro embolism or postoperative cerebral vasospasm as possible causes for the development of cerebral infarct in patients with subarachnoid haemorrhage following an aneurysm rupture.

scholarly journals Emergency Extracranial-to-Intracranial Bypass after Thromboembolic Occlusion of the Middle Cerebral Artery following GDC Embolization of a Ruptured ACoA Aneurysm

2004 ◽  
Vol 10 (3) ◽  
pp. 257-263 ◽  
Author(s):  
H. Standhardt ◽  
A. Gruber ◽  
H. Ferraz-Leite ◽  
G. Bavinzski
Keyword(s):  
Cerebral Infarction ◽  
Endovascular Treatment ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Fibrinolytic Therapy ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm

We report a case of thromboembolic occlusion of the middle cerebral artery after endovascular treatment of a ruptured anterior communicating artery aneurysm. When fibrinolytic therapy failed to recanalize the occluded vessel, an emergency extracranial-to-intracranial bypass was performed. This intervention rescued our patient from cerebral infarction. This case demonstrates the importance of the offering this procedure at neurointerventional centers.

scholarly journals Anterior Communicating Artery Aneurysm associated with Bilateral Occlusion of the Middle Cerebral Artery

1989 ◽  
Vol 29 (5) ◽  
pp. 437-439
Author(s):  
Mutsuo KUSUNOSE ◽  
Keiji KOSHU ◽  
Shigeru HIROTA ◽  
Makoto SONOBE ◽  
Shinichiro TAKAHASHI
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
Anterior Communicating Artery Aneurysm
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