Ruptured aneurysms of the proximal middle cerebral artery

1973 ◽  
Vol 39 (4) ◽  
pp. 498-502 ◽  
Author(s):  
Matej Lipovšek
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Bed Rest ◽  
Content Type ◽  
Ruptured Aneurysms ◽  
Carotid Ligation ◽  
Angiographic Evidence ◽  
Proximal Middle Cerebral Artery ◽  
Middle Cerebral Artery Aneurysms ◽  
Fine Print

✓ In 57 patients with proximal middle cerebral artery aneurysms, two forms of treatment are reviewed, namely, bed rest and common carotid ligation. Patients who had no angiographic evidence of spasm or accompanying hematoma did better with carotid ligation than with bed rest if they were treated within the first week of the onset of subarachnoid hemorrhage.

Subarachnoid hemorrhage secondary to ruptured aneurysms in infants

1978 ◽  
Vol 49 (6) ◽  
pp. 898-902 ◽  
Author(s):  
Marshall L. Grode ◽  
Myles Saunders ◽  
Charles A. Carton
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Case Histories ◽  
Content Type ◽  
Ruptured Aneurysms ◽  
Detailed Case ◽  
Subarachnoid Bleeding ◽  
Middle Cerebral Artery Aneurysms ◽  
Fine Print

✓ Two infants with subarachnoid bleeding from middle cerebral artery aneurysms are presented, with detailed case histories.

Technique of catheterization and embolization of the lenticulostriate arteries

1981 ◽  
Vol 54 (6) ◽  
pp. 783-789 ◽  
Author(s):  
Alex Berenstein
Keyword(s):  
Arteriovenous Malformation ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
High Probability ◽  
Content Type ◽  
Lenticulostriate Arteries ◽  
Balloon Catheters ◽  
Mca Occlusion ◽  
Proximal Middle Cerebral Artery ◽  
Fine Print

✓ The technique of catheterization and embolization of the lateral and medial lenticulostriate arteries, using one or two balloon catheters of various designs, is described. A case of a bilateral thalamic arteriovenous malformation is presented and a further instance of an aneurysm of a striate artery is briefly discussed. Because of the high probability of proximal middle cerebral artery (MCA) thrombosis, care must be taken to determine tolerance to MCA occlusion prior to embolization.

Surgical treatment of middle cerebral artery aneurysms

1984 ◽  
Vol 61 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Jiro Suzuki ◽  
Takashi Yoshimoto ◽  
Takamasa Kayama
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Surrounding Tissue ◽  
Surgical Results ◽  
Content Type ◽  
Aneurysm Neck ◽  
Social Lives ◽  
Middle Cerebral Artery Aneurysms ◽  
Fine Print

✓ The authors report their experience with the surgical therapy of middle cerebral artery (MCA) aneurysms in 413 cases, and describe their technique. After the M1 portion of the MCA is identified, the Sylvian fissure is opened. During the administration of 20% mannitol, temporary occluding clips are applied to the feeding and draining vessels of the aneurysm. The aneurysm is freed from all surrounding tissue, and the aneurysm neck is treated by ligation, clipping, or wrapping. Analysis of surgical results in 91 cases operated on after the surgical approach had become standardized indicates that more than 94% of patients have returned to useful social lives by the time of follow-up evaluation. Twenty-four percent of these patients were operated on within 48 hours after subarachnoid hemorrhage.

Ruptured aneurysms of the middle cerebral artery

1971 ◽  
Vol 35 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Richard G. Robinson
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Retinal Hemorrhage ◽  
Intracerebral Hematoma ◽  
Surgical Mortality ◽  
Working Capacity ◽  
Content Type ◽  
Ruptured Aneurysms ◽  
Women Poor ◽  
Fine Print

✓ Eighty-four consecutive patients with ruptured aneurysms of the middle cerebral artery were operated on between 1947 and 1969 at the Neurosurgical Unit, Dunedin Hospital, Dunedin, New Zealand. The lesions were commoner in women. Poor clinical condition, hypertension, retinal hemorrhage, age over 50 years, intracerebral hematoma, and very early operation each affected the surgical mortality adversely. The over-all mortality was 36.6%, and better patient selection reduced this to 7.8%. Clipping the aneurysm proved to be a better method of treatment than investment with muscle and gauze. Two-thirds of the surviving patients returned to full or partial working capacity.

Reinforcement with gauze wrapping for ruptured aneurysms of the middle cerebral artery

1977 ◽  
Vol 47 (6) ◽  
pp. 828-832 ◽  
Author(s):  
Julien C. Taylor ◽  
Abdur R. Choudhury
Keyword(s):  
Mortality Rate ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Recurrent Hemorrhage ◽  
Content Type ◽  
Mortality And Morbidity ◽  
Ruptured Aneurysms ◽  
Follow Up Study ◽  
Fine Print

✓ A 2- to 15-year follow-up study is presented of a series of 35 consecutive patients treated for ruptured aneurysms of the middle cerebral artery by reinforcement with gauze wrapping. Only one patient suffered early recurrent hemorrhage in the postoperative period, and none had a late hemorrhage. The procedure carried a relatively low mortality rate (8.6%). Morbidity was the direct sequel of preoperative conditions. Wrapping is an effective and safe treatment of these aneurysms, with a low mortality and morbidity, and freedom from occlusive infarcts.

Giant serpentine aneurysm

1977 ◽  
Vol 46 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Harold D. Segal ◽  
Robert L. McLaurin
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Mass Effect ◽  
Clinical Results ◽  
Avascular Area ◽  
Content Type ◽  
Serpentine Aneurysm ◽  
Middle Cerebral Artery Aneurysms ◽  
Mass Lesions ◽  
Fine Print

✓ The authors describe two cases of giant middle cerebral artery aneurysms presenting as mass lesions. Angiograms in each case revealed a distinctive serpentine vascular channel surrounded by an avascular area causing a “mass effect.” Both lesions were resected in toto with excellent clinical results. Similar lesions in the literature are noted and the pathophysiology and origin of this group of aneurysms are discussed.

Spontaneous fusiform middle cerebral artery aneurysms: characteristics and a proposed mechanism of formation

2003 ◽  
Vol 99 (2) ◽  
pp. 228-240 ◽  
Author(s):  
Arthur L. Day ◽  
Christopher G. Gaposchkin ◽  
Chun Jiang Yu ◽  
Dennis J. Rivet ◽  
Ralph G. Dacey
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Mass Effect ◽  
Female Ratio ◽  
Content Type ◽  
Morphological Findings ◽  
Male Female Ratio ◽  
Analysis Of Results ◽  
Middle Cerebral Artery Aneurysms ◽  
Fine Print

Object. The goal of this study was to identify the origins of spontaneous fusiform middle cerebral artery (MCA) aneurysms. Methods. One hundred two cases of spontaneous fusiform MCA aneurysms were reviewed, including 40 from the authors' institutions and 62 identified from the literature. The mean age at symptom onset was 38 years, and the male/female ratio was 1.4:1. At presentation, the MCA lumen was stenosed or occluded in 12 patients, focally dilated in 57, and appeared “serpentine” in 33. Most lesions originated from the M1 or M2 segments, and most (80%) presented with nonhemorrhagic symptoms or were discovered incidentally. The presenting clinical features correlated with morphological findings in the aneurysms, which could be observed to progress from a small focal dilation or vessel narrowing to a serpentine channel. Hemorrhage was the most common presentation in small lesions; the incidence of bleeding progressively diminished with larger lesions. Patients with stenoses or occluded vessels most often presented with ischemic symptoms, and occasionally with hemorrhage. Giant focal dilations or serpentine aneurysms were rarely associated with acute bleeding; clinical presentation was most often prompted by mass effect or thromboembolic stroke. Conclusions. Analysis of results after various treatments indicates that for symptomatic lesions, therapies that reverse intraaneurysmal blood flow and augment distal cerebral perfusion are associated with better outcomes than other strategies, including conservative management. Based on the spectrum of clinical, pathological, neuroimaging, and intraoperative findings, dissection is proposed as the underlying cause of these lesions.

Middle meningeal to middle cerebral arterial bypass for cerebral revascularization

1979 ◽  
Vol 50 (6) ◽  
pp. 802-804 ◽  
Author(s):  
Clinton F. Miller ◽  
Robert F. Spetzler ◽  
Dennis J. Kopaniky
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Middle Meningeal Artery ◽  
Cerebral Revascularization ◽  
Content Type ◽  
Arterial Bypass ◽  
Meningeal Artery ◽  
Fine Print

✓ A case is reported of successful anastomosis of the middle meningeal artery to a cortical branch of the middle cerebral artery. Based on the analyses of 50 random angiograms, the authors discuss the circumstances in which such an anastomosis might be practical and indicated.

Posttraumatic bilateral middle cerebral artery occlusion

1975 ◽  
Vol 42 (2) ◽  
pp. 217-221 ◽  
Author(s):  
Skip Jacques ◽  
C. Hunter Shelden ◽  
D. Thomas Rogers ◽  
Anthony C. Trippi
Keyword(s):  
Middle Cerebral Artery ◽  
Middle Cerebral Artery Occlusion ◽  
Cerebral Artery ◽  
Artery Occlusion ◽  
Content Type ◽  
Pathophysiological Mechanisms ◽  
Cerebral Artery Occlusion ◽  
Fine Print

✓ The authors report a case of bilateral posttraumatic middle cerebral artery occlusion. Previously reported unilateral cases are reviewed and possible pathophysiological mechanisms disscussed.

Analysis of multiple factors affecting surgical outcomes of proximal middle cerebral artery aneurysms

2011 ◽  
Vol 113 (5) ◽  
pp. 362-367 ◽  
Author(s):  
Sung-Kon Ha ◽  
Dong-Jun Lim ◽  
Shin-Hyuk Kang ◽  
Se-Hoon Kim ◽  
Jung-Yul Park ◽  
...  
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Surgical Outcomes ◽  
Factors Affecting ◽  
Multiple Factors ◽  
Proximal Middle Cerebral Artery ◽  
Middle Cerebral Artery Aneurysms
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