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Interv Neuroradiol. 2015 Dec;21(6):664-8. doi: 10.1177/1591019915609780. Epub 2015 Oct 27.

Endovascular glue embolization of dissecting aneurysm of type-3 accessory middle cerebral artery: A contralateral approach.

Author information

1
Department of Neurointerventional Surgery, Medanta Institute of Neuroscience, Gurgaon, India.
2
Department of Neurointerventional Surgery, Medanta Institute of Neuroscience, Gurgaon, India Gaurav.Goel@Medanta.org.
3
Department of Neurosurgery, Medanta Institute of Neuroscience, Gurgaon, India.
4
Department of Neuroanaesthesia and Critical Care, Medanta Institute of Neuroscience, Gurgaon, India.

Abstract

Pediatric intracranial aneurysms are rare with a reported prevalence of 0.5-4.6%. Likewise, anomalous arterial patterns are uncommon in the cerebral circulation. Recognition of these variations and knowledge of vascular territory forms the key to managing pathological conditions associated with these anomalous vessels. Ruptured dissecting aneurysm of type-3 accessory middle cerebral artery (aMCA) has not been reported in the pediatric age group. In addition to type-3 aMCA, the child in this case report had an ipsilateral type-1 aMCA with cortical supply. We describe the patterns of accessory MCA and their vascular territory, state the perplexity involved in deciding the best management strategy, and describe the technical approach we undertook to catheterize this small caliber recurrent artery (type-3 aMCA) originating at an acute angle from the anterior cerebral artery.

KEYWORDS:

Dissecting aneurysm; accessory middle cerebral artery; glue embolization; recurrent artery of Heubner

PMID:
26508091
PMCID:
PMC4757350
DOI:
10.1177/1591019915609780
[Indexed for MEDLINE]
Free PMC Article

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