A RARE CASE OF RUPTURED ANEURYSM AT THE ORIGIN OF INFERIOR PART OF DUPLICATED MIDDLE CEREBRAL ARTERY
DOI:
https://doi.org/10.21776/ub.mnj.2021.007.02.13Keywords:
Duplicated middle cerebral artery, ruptured aneurysm, coilingAbstract
Duplicated middle cerebral artery (DMCA) is an anomalous vessel arises from the internal carotid artery (ICA). This anatomical variation is rare. Aneurysm with this anatomical variation and unusual form was very rare. Even though this kind of aneurysm is rare, it was often ruptured. In this paper, we report a case of 40-years old female with abrupt decreased of consciousness as a chief complaint, along with severe headache one day earlier, no history of head trauma, and there was nuchal rigidity. She didn’t had history of hypertension before. Head computed tomography showed subarachnoid hemmorrhage (SAH) mostly on the left sylvian fissure with Hunt and Hess scale was 3 and Fisher scale was 2, while the cerebral angiography showed duplication of the left middle cerebral artery in which the inferior part of the MCA duplication has ruptured aneurysm at the origin. Treatment option for this aneurysm is endovascular coiling with preserved of the inferior part of duplicated MCA. Result of this treatment shows a good outcome.
References
Laborde DV, Mason AM, Riley J, Dion JE, Barrow DL. Aneurysm of a duplicate middle cerebral artery. World Neurosurg; 2012. 77(1):201.e1-201.e4. DOI:10.1016/j.wneu.2011.03.038
Uchiyama N. Anomalies of the middle cerebral artery. Neurol Med Chir (Tokyo); 2017. 57(6):261-266. DOI:10.2176/nmc.ra.2017-0043
Kim MS, Hur JW, Lee JW, Lee HK. Middle cerebral artery anomalies detected by conventional angiography and magnetic resonance angiography. J Korean Neurosurg SocSoc; 2005. Avalaible from: https://www.jkns.or.kr/journal/view.php?number=2119
Stojanović NN, Kostić A, Mitić R, Berilažić L. Correlation between multiple cerebral aneurysms and a rare type of segmental duplication of the middle cerebral artery. BMC Neurol; 2020. 20(1):1-4. DOI:10.1186/s12883-019-1588-8
Kim JS, Lee C-H, Park H, Han J-W. An Unruptured Cerebral Aneurysm at the Origin of the Duplicated Middle Cerebral Artery. J Cerebrovasc Endovasc Neurosurg; 2015. 17(3):223.
DOI:10.7461/jcen.2015.17.3.223
Chang HY, Kim MS. Middle cerebral artery duplication: Classification and clinical implications. J Korean Neurosurg Soc; 2011. 49(2):102-106. DOI:10.3340/jkns.2011.49.2.102
Komiyama M, Nakajima H, Nishikawa M, Yasui T. Middle cerebral artery variations: Duplicated and accessory arteries. Am J Neuroradiol; 1998. 19(1):45-49. Avalaible from: https://pubmed.ncbi.nlm.nih.gov/9432156/
Imahori T, Mizobe T, Fujinaka T, et al. An aneurysm at the origin of a duplicated middle cerebral artery treated by stent-assisted coiling using the “Wrapped-Candy†Low-Profile Visualized Intraluminal Support (LVIS) technique: A technical case report and review of the literature. World Neurosurg; 2020. 143:353-359. DOI:10.1016/j.wneu.2020.08.046
Koyama S, Kotani A, Sasaki J, Tazoe M, Tsubokawa T. Ruptured Aneurysm at the Origin of Duplication of the Middle Cerebral Artery: Case report. Neurol Med Chir (Tokyo); 1995. 35(9):671-673.
DOI:10.2176/nmc.35.671
Crompton MR. The pathology of ruptured middle-cerebral aneurysms with special reference to the differences between the sexes. Lancet; 1962. 280(7253):421-425.
DOI: 10.1016/S0140-6736(62)90281-7
Iida Y, Tamase A, Kamide T, Mori K, Seki S, Nomura M. Aneurysm at origin of duplicated middle cerebral artery associated with another aneurysm. Surg Neurol Int; 2015. 6:S549-S552. DOI:10.4103/2152-7806.168069
Ren H, Ma L, Wei M, Li J, Yu M, Yin L. Duplicated middle cerebral artery origin with an aneurysm. Med (United States); 2018. 97(9):3-6.
DOI: 10.1097/MD.0000000000009947
Hori E, Kurosaki K, Matsumura N, et al. Multiple aneurysms arising from the origin of a duplication of the middle cerebral artery. J Clin Neurosci; 2005. 12(7):812-815. DOI: 10.1016/j.jocn.2004.08.033
Hou K, Xu K, Liu H, Li G, Yu J. The Clinical characteristics and treatment considerations for intracranial aneurysms associated with middle cerebral artery anomalies: A systematic review. Front Neurol; 2020. 11(October).
DOI: 10.3389/fneur.2020.564797
Choi J, Joo S, Lee J, Kim T. Middle cerebral artery variations associated with intracranial aneurysmal rupture. J Korean Neurosurg Soc; 2006. 467-470. Avalaible from: koreascience.or.kr/article/JAKO200608410671346.pdf
Hidayati HB. The Clinician’s Approach to The Management of Headache. Malang Neurol Journal; 2016. 02. DOI:10.21776/ub.mnj.2016.002.02.7
Ramadhania NN, Darmawan AF, Sani AF. Higher mean arterial pressure increases risk of in-hospital mortality in aneurysmal subarachnoid hemorrhage. Universa Med; 2020. 39(3):153. DOI:10.18051/univmed.2020.v39.153-161
Otani N, Nawashiro H, Tsuzuki N, et al. A ruptured internal carotid artery aneurysm located at the origin of the duplicated middle cerebral artery associated with accessory middle cerebral artery and middle cerebral artery aplasia. Surg Neurol Int; 2010. 1(1):51. DOI:10.4103/2152-7806.69378
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