Accessory Middle Cerebral Artery Originating from the Posterior Circulation, Presenting with an Occult Ruptured Cerebral Aneurysm: a Case Report—Management of Atypical Subarachnoid Haemorrhage Cases with Rare Vascular Variations

2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Alexandros Blionas ◽  
Savvas Melissaris ◽  
Christos Zlatanos ◽  
Nikolaos Georgakoulias
Keyword(s):  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Aneurysm ◽  
Cerebral Artery ◽  
Posterior Circulation ◽  
Vascular Variations ◽  
Accessory Middle Cerebral Artery

Abstract 1122‐000017: Giant Brain Aneurysm: A Case Report in a Pediatric Patient

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Javier Lagos‐Servellon ◽  
Ventura Zelaya ◽  
Gretel Escalante‐Lanza ◽  
Mariam Zelaya ◽  
Tulio Murillo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Middle Cerebral Artery ◽  
Pediatric Patient ◽  
Cerebral Artery ◽  
Pediatric Intensive Care ◽  
Posterior Circulation ◽  
Anterior Communicating Artery ◽  
Brain Aneurysm

Introduction : The incidence of intracranial aneurysms in the pediatric population ranges from 1 to 3 per million inhabitants. Within this population, aneurysms are even rarer in lactating patients. Unlike the adult population, the male gender is predominant, and the incidence is more significant in the posterior circulation, with a higher percentage in the middle cerebral artery. Microsurgical and endovascular treatment has been described as feasible treatment in these cases. Methods : Methodology: Description of a case report of a patient admitted to the Pediatric Intensive Care service of the Hospital Materno Infantil in Tegucigalpa, Honduras. We took informed consent from parents for the patient’s treatment and subsequent academic dissemination of the clinical and neuroimaging data. Results : Case report: A two‐year‐old male patient presented to the pediatric emergency department with a 24‐hour evolution of sudden headache of severe intensity, accompanied by nausea and multiple episodes of vomiting. At hospital arrival, the patient presented an episode of generalized epileptic seizures. At the initial clinical neurological evaluation with altered consciousness somnolent. Motor examination revealed a right facial and body hemiparesis and Hunt and Hess of 1. Noncontrast cerebral tomography (NCCT) showed Fisher IV subarachnoid haemorrhage, left frontal lobar intraparenchymal hematoma and acute hydrocephalus (Fig 1A). Consequently, we placed an external ventricular shunt, for which the patient was admitted to the pediatric intensive care unit. The computed tomography angiography (CTA) showed a giant aneurysm in the anterior communicating artery (Fig. 1B). The patient underwent an endovascular procedure with the placement of coils with a successful result (Fig. 1C and Fig. 1D). Conclusions : Giant aneurysms are sporadic in children. They are commonly associated with the posterior circulation and, to a lesser extent, the middle cerebral artery is more commonly affected with the anterior circulation. Aneurysms in children tend to be more extensive compared to their adult counterparts. Clinically, they present with subarachnoid haemorrhage and seizures, as in our case. This case is a pediatric patient with a giant brain aneurysm at a less common age and rare localization. Endovascular management was successful, adding information to the therapeutic spectrum in these cases. It is essential to perform a detailed angiographic investigation. Surgery is the treatment of choice; however, clinical trials are needed to clarify endovascular versus microsurgical management.

scholarly journals Saccular Aneurysm of the Accessory Middle Cerebral Artery. Case Report.

2003 ◽  
Vol 43 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Kazunori FUJIWARA ◽  
Keiichi SAITO ◽  
Tsutomu EBINA
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Saccular Aneurysm ◽  
Accessory Middle Cerebral Artery

scholarly journals Aneurysm of the Anterior Communicating Artery Associated with Accessory Middle Cerebral Artery —Case Report—

1997 ◽  
Vol 37 (10) ◽  
pp. 747-751 ◽  
Author(s):  
Toshitaka NAKAMURA ◽  
Kiyohiro HOUKIN ◽  
Hisatoshi SAITOH ◽  
Hiroshi ABE
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Accessory Middle Cerebral Artery

Rupture of a giant aneurysm of the accessory middle cerebral artery: a case report and a literature review

2017 ◽  
Vol 81 (6) ◽  
pp. 103 ◽  
Author(s):  
A. S. Kheyreddin ◽  
Yu. M. Filatov ◽  
A. N. Kaftanov ◽  
I. A. Sazonov ◽  
E. Yu. Bukharin ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Giant Aneurysm ◽  
Accessory Middle Cerebral Artery

scholarly journals Aneurysm and Neurocysticercosis: Casual or Causal Relationship? Case Report and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Svetlana Agapejev ◽  
João Luiz Parra-Marinello ◽  
Rodrigo Bazan ◽  
Anete Kinumi Ueda ◽  
Marco Antonio Zanini
Keyword(s):  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Arterial Hypertension ◽  
Middle Cerebral Artery ◽  
Cerebral Aneurysm ◽  
Causal Relationship ◽  
Review Of The Literature ◽  
Bifurcation Aneurysm ◽  
The Relationship ◽  
Casual Relationship

Four cases of suggestive inflammatory aneurysms in patients with neurocysticercosis have been described. We report a case of a 49-year-old woman who presented with subarachnoid haemorrhage from a right middle cerebral artery bifurcation aneurysm and had a casual relationship with neurocysticercosis. At surgery, a viable cysticercus without signs of inflammation or thickened leptomeninges was found in the distal position of the aneurysm. Postoperatively, the patient received albendazole and dextrochlorpheniramine. In the subsequent three years, the patient was asymptomatic and took drugs to prevent convulsion and arterial hypertension. The relationship between NCC and the presence of cerebral aneurysm is discussed.

Dissecting aneurysms of the anterior cerebral artery and accessory middle cerebral artery. Case report

1997 ◽  
Vol 20 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Yasunari Otawara ◽  
Michiyasu Suzuki ◽  
Miyuki Abe ◽  
Nobuhiko Tomizuka ◽  
Akira Ogawa
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Accessory Middle Cerebral Artery ◽  
Dissecting Aneurysms
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