Middle Cerebral Artery Variations Associated with Intracranial Aneurysmal Rupture

  • Choi, Jeong-Wook (Department of Neurosurgery, Chonnam National University Hospital & Medical School) ;
  • Joo, Sung-Pil (Department of Neurosurgery, Chonnam National University Hospital & Medical School) ;
  • Lee, Jung-Kil (Department of Neurosurgery, Chonnam National University Hospital & Medical School) ;
  • Kim, Tea-Sun (Department of Neurosurgery, Chonnam National University Hospital & Medical School)
  • Published : 2006.06.30

Abstract

Aneurysmal ruptures associated with middle cerebral artery[MCA] anomalies, such as a duplicated MCA and an accessory MCA, are quite rare. The authors reviewed the clinical relevance and possible etiology of these anomalies.

Keywords

References

  1. Abanou A, Lasjaunias P, Manelfe C, Lopez-Ibor L : The accessory middle cerebral artery(AMCA). Diagnostic and therapeutic consequence. Anat Clin 6 : 305-309, 1984 https://doi.org/10.1007/BF01654463
  2. Alkadhi H, Schuknecht B, Imhof HG, Yonekawa Y : Aneurysms at a temporopolar artery origin from the internal carotid artery : report of two cases. Neurosurgery 52 : 1221-1225, 2003 https://doi.org/10.1227/01.NEU.0000058024.09836.C2
  3. Crompton MR : The pathology of ruptured middle cerebral aneurysms with special reference to differences between the sexes. Lancet 2 : 421-425, 1999
  4. Elmaci I, Baltacioglu F, Ekingi G, Erzen C, Pamir N : Middle cerebral artery duplication associated with multiple intracranial aneurysms. J Neurosurg Sci 45 : 232-234, 2001
  5. Georgopoulos CE, Papanikolaou PG, Vlachos KI, Atzemi-Moldow N, Hatzidakis GI : Ruptured aneurysm at the trunk of the accessory middle cerebral artery. Acta Neurochir (Wien) 141 : 1233-1235, 1999 https://doi.org/10.1007/s007010050424
  6. Han DH, Gwak HS, Chung CK : Aneurysm at the origin of accessory middle cerebral artery associated with middle cerebral artery aplasia : case report. Surg Neurol 42 : 388-391, 1994 https://doi.org/10.1016/0090-3019(94)90341-7
  7. Handa J, Shimizu Y, Matsuda M, Handa H : The accessory middle cerebral artery : report of further two cases. Clin Radiol 21 : 415-416, 1970 https://doi.org/10.1016/S0009-9260(70)80084-8
  8. Kim MS, Hur JW, Lee JW, Lee HK : Middle cerebral artery anormalies detected by conventional angiography and magnetic resonance angiography. J Korean Neurosurg Soc 37 : 263-267, 2005
  9. Komiyama M, Nakajima H, Nishikawa M, Yasui T : Middle cerebral artery variations : Duplicated and accessory arteries. Am J Neuroradiol 19 : 45-49, 1998
  10. Komiyama M, Nishikawa M, Yasui T : The accessory middle cerebral artery as a collateral blood supply. Am J Neuroradiol 18 : 587-590, 1997
  11. Komiyama M, Yasui T : Accessory middle cerebral artery and moyamoya disease. J Neurosurg Psychiatry 71 : 129-137, 2001 https://doi.org/10.1136/jnnp.71.1.129
  12. Ladzinski P, Maliszewski M, Majchrzak H : The accessory cerebral artery: case report and anatomic analysis of vascular anomaly. Surg Neurol 48 : 171-174, 1997 https://doi.org/10.1016/S0090-3019(96)00421-1
  13. Leonello T, Francis GJ, Lindsay S : Accessory middle cerebral artery. J Neurosurg 83 : 916-918, 1995 https://doi.org/10.3171/jns.1995.83.5.0916
  14. Moore C, Heck D, Beauchamp N, Gailloud P : Detection on CT Angiography of an accessory middle cerebral artery simulating a fusiform aneurysm on MR angiography. Am J Neuroradiol 180 : 544-545, 2003
  15. Mueller DP, Yuh WTC : Accessory middle cerebral artery as a source of collateral blood flow. Am J Neuroradiol 12 : 1223-1224, 1991
  16. Nomura M, Yamashima T, Kita D, Kajinami K, Yamashita J : Duplication of the middle cerebral artery associated with an unruptured aneurysm. Acta Neurochir (Wien) 142 : 221-222, 2000 https://doi.org/10.1007/s007010050029
  17. Shigeki I, Takehide O, Osamu M, Motonobu K, Kiyoshi I : Unruptured Carotid-duplicated middle cerebral artery aneurysm: case report. Surg Neurol 58 : 322-324, 2002 https://doi.org/10.1016/S0090-3019(02)00887-X
  18. Stehbens WE : Aneurysms and anatomical variations of cerebral arteries. Arch Pathol 75 : 45-64, 1963
  19. Takahashi S, Hoshino F, Uemura K : Accessory middle cerebral artery : is it a variant form of the recurrent artery of Heubner? Am J Neuroradiol 10 : 567-575, 1989
  20. Taylor R, Connolly E, Jr Duong H : Radiographic evidence and surgical confirmation of a saccular aneurysm on a hypoplastic duplicated A1 segment of the anterior cerebral artery : case report. Neurosurgery 46 : 482-484, 2000 https://doi.org/10.1097/00006123-200002000-00042
  21. Teal JS, Rumbaugh CL, Bergeron RT, Segall HD : Anormalies of the middle cerebral artery : accessory artery, duplication, and early bifurcation. AJR 118 : 567-575, 1973 https://doi.org/10.2214/ajr.118.3.567
  22. Uchino A, Kato A, Takase Y, Kudo S : Middle cerebral artery variations detected by magnetic resonance angiography. Eur Radiol 10 : 560-563, 2000 https://doi.org/10.1007/s003300050960
  23. Umansky F, Dujovny M, Ausman JI : Anomalies and variations of the middle cerebral artery. Neurosurgery 22 : 1023-1027, 1988 https://doi.org/10.1227/00006123-198806010-00008
  24. Umansky F, Gomes FB, Dujovny M, Diaz FG, Ausman JI, Mirachandani HG, et al : The perforating branches of the middle cerebral artery. A microanatomical study. J Neurosurg 62 : 261-268, 1985 https://doi.org/10.3171/jns.1985.62.2.0261
  25. Yasargil MG, Smith RD : Association of middle cerebral artery anomalies with saccular aneurysms and moyamoya disease. Surg Neurol 6 : 39-43, 1976