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Journal of Korean Neurosurgical Society > Volume 42(6); 2007 > Article
Journal of Korean Neurosurgical Society 2007;42(6): 478-480.
doi: https://doi.org/10.3340/jkns.2007.42.6.478
Distal Middle Cerebral Artery M4 Aneurysm Surgery Using Navigation-CT Angiography.
Seung Hwan Lee, Jae Seung Bang
Department of Neurosurgery of East-West Neo Medical Center, Kyung Hee University, School of Medicine, Seoul, Korea. head1975@nate.com
ABSTRACT
Unruptured non-traumatic dissecting aneurysm in the M4 segment of the middle cerebral artery (MCA) accompanied by complete occlusion of the ipsilateral internal cerebral artery (ICA) has never been reported. A 41-year-old man presented with an infarction manifesting as left-sided weakness and dysarthria. Magnetic resonance angiography revealed a subacute stage infarction in the right MCA territory and complete occlusion of the right ICA. Angiography demonstrated aneurysmal dilatation of the M4 segment of the right MCA. Surgery was performed to prevent hemorrhage from the aneurysm. The aneurysm was proximally clipped guided by Navigation-CT angiography and flow to the distal MCA was restored by superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis. We report this rare case with literature review.
Key Words: Middle cerebral artery aneurysm; Navigation; Dissecting aneurysm
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