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Japanese

Dissecting aneurysm of the middle cerebral artery with subarachnoid hemorrhage and brain infarction:a case report Tsutomu KAWAGUCHI 1 , Teruaki KAWANO 1 , Kiyoshi KAZEKAWA 1 , Teruaki HONMA 1 , Yoshirou KANEKO 1 , Tohru KOIZUMI 1 , Yoshiaki DOUSAKA 1 1Department of Neurosurgery, Fukuoka Tokushukai General Hospital Keyword: dissecting aneurysm , middle cerebral artery , surgery pp.1033-1037
Published Date 1997/11/10
DOI https://doi.org/10.11477/mf.1436901485
  • Abstract
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This report describes a surgical case of a dissecting aneurysm of the left middle cerebral artery with sub-arachnoid hemorrhage and ischemic insult.

A 48-year-old man with pure motor aphasia was re-ferred to our hospital. CT scans demonstrated sub-arachnoid hemorrhage in the left frontal region. CT scans on the next day showed a small brain infarction in the left precentral artery and central artery territo-ries. The first left carotid angiograms showed stenosis at the M2 portion of the middle cerebral artery. On the 16th day, the second left carotid angiograms revealed a pearl and string sign.

We diagnosed a dissecting aneurysm of the middle cerebral artery. The dissecting aneurysm was wrapped using the pterional approach and STA-MCA anastomo-sis was also performed. The postoperative course was uneventful and the motor aphasia improved.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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