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Combined duplicate origin and early bifurcated middle cerebral artery diagnosed by magnetic resonance angiography.
Uchino, Akira; Kobayashi, Satoshi.
Afiliación
  • Uchino A; Department of Radiology, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa, Sayama, Saitama, 350-1305, Japan. auchino0528@gmail.com.
  • Kobayashi S; Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa, Sayama, Saitama, 350-1305, Japan.
Surg Radiol Anat ; 46(8): 1359-1361, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38832952
ABSTRACT

PURPOSE:

To describe a case of combined duplicate origin and early bifurcated middle cerebral artery (MCA) incidentally diagnosed using magnetic resonance (MR) angiography.

METHODS:

A 51-year-old woman with an unruptured left MCA aneurysm underwent cranial MR angiography with a 3-Tesla scanner for presurgical evaluation. MR angiography was performed using a standard 3-dimensional time-of-flight technique.

RESULTS:

An unruptured left MCA aneurysm at the M1-M2 junction was identified. The maximum aneurysm diameter was 9 mm. Two almost equally sized right MCAs arose from the terminal segment of the right internal carotid artery. These two channels soon anastomosed, and the temporal branch arose from the inferior channel. The aneurysm was successfully treated with coil embolization.

CONCLUSION:

We herein report a case of a combined duplicate origin and early bifurcated MCA. This variation can also be regarded as anastomosis between the main MCA and the duplicated MCA. This variation has been previously reported as segmental duplication of the MCA. This is the third case of this rare MCA variation reported in the relevant English-language literature. The term "segmental duplication" may be confused with duplicate origin of the MCA, in which only one artery is located distal to the fusion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Angiografía por Resonancia Magnética / Arteria Cerebral Media Límite: Female / Humans / Middle aged Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Angiografía por Resonancia Magnética / Arteria Cerebral Media Límite: Female / Humans / Middle aged Idioma: En Revista: Surg Radiol Anat Asunto de la revista: ANATOMIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Alemania