Journal of Korean Neurosurgical Society

  • 제45권5호
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  • Pages.289-292
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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The Angiographic Feature and Clinical Implication of Accessory Middle Cerebral Artery

  • Kim, Myoung-Soo (Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Lee, Hyun-Koo (Department of Neurosurgery, Cheongju Saint Mary's Hospital)
  • 발행 : 2009.05.28
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초록

Objective : Although there are several descriptions of this vessel, there is no detailed angiographic study of the accessory middle cerebral artery (AMCA) in Korea. We describe the angiographic characteristics of the cortical territory and origin of AMCA and discuss the clinical significance of this anomaly. Methods : We searched for patients with AMCAs from a retrospective review of 1,250 conventional cerebral angiograms. We determined the origins, diameters and cortical territories of these AMCAs. Results : Fifteen patients (15 of 1250 = 1.2%) had 16 AMCAs (one patient had bilateral AMCAs). AMCAs originated from the distal A1 in eleven cases, middle A1 in two, proximal A1 in two, and proximal A2 in one case. All AMCAs followed a course parallel to the main middle cerebral artery (MCA). All but three of these arteries were smaller than the main MCA. Thirteen of the smaller diameter AMCAs had cortical distribution to the orbito-frontal and prefrontal, and precentral areas. Three AMCAs had diameter as large as the main MCA. These three supplied the orbito-frontal, prefrontal, precentral, central and anterior-parietal arteries. Conclusion : The AMCAs originated from A1 or A2. Most had smaller diameter than the main MCA. The AMCAs coursed along the horizontal portion of the MCA, but supplied the orbital surface, the anterior frontal lobe and sometimes wider cortical territory, including the precentral, central, anterior-parietal areas.

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참고문헌

  1. Abanou A, Lasjaunias P, Manelfe C, Lopez-Ibor L : The accessory middle cerebral artery (AMCA). Diagnostic and therapeutic consequences. Anat Clin 6 : 305-309, 1984
  2. Crompton MR : The pathology of ruptured middle-cerebral aneurysms with special reference to the differences between the sexes. Lancet 2 : 421-425, 1962 https://doi.org/10.1016/S0140-6736(62)90281-7
  3. Fujiwara K, Saito K, Ebina T : Saccular aneurysm of the accessory middle cerebral artery--case report. Neurol Med Chir (Tokyo) 43 : 31-34, 2003 https://doi.org/10.2176/nmc.43.31
  4. Fuwa I, Matsukado Y, Wada H : [Intracranial aneurysms associated with the accessory middle cerebral artery and duplication of the middle cerebral artery. Report of two cases.] Neurol Med Chir (Tokyo) 24 : 207-211, 1984 https://doi.org/10.2176/nmc.24.207
  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
  6. Gibo H, Carver CC, Rhoton AL Jr, Lenkey C, Mitchell RJ : Microsurgical anatomy of the middle cerebral artery. J Neurosurg 54 : 151-169, 1981 https://doi.org/10.3171/jns.1981.54.2.0151
  7. 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
  8. Handa J, Matsuda M, Okamoto K, Kidooka M : Association between accessory middle artery and cerebral aneurysm. Report of two cases. Acta Neurochir (Wien) 64 : 151-157, 1982 https://doi.org/10.1007/BF01405627
  9. Hong JT, Huh PW, Chung DS, Kye DK, Cho KS, Kim DS : Accessory Middle Cerebral Artery. J Korean Neurosurg Soc 26 : 435-438, 1997
  10. Jain KK : Some Observations on the Anatomy of the Middle Cerebral Artery. Can J Surg 7 : 134-139, 1964
  11. Kahilogullari G, Ugur HC : Accessory middle cerebral artery originating from callosomarginal artery. Clin Anat 19 : 694-695, 2006 https://doi.org/10.1002/ca.20371
  12. Kim MS, Hur JW, Lee JW, Lee HK : Middle cerebral artery anomalies detected by conventional angiography and magnetic resonance angiography. J Korean Neurosurg Soc 37 : 263-267, 2005
  13. Komiyama M, Nakajima H, Nishikawa M, Yasui T : Middle cerebral artery variations : duplicated and accessory arteries. AJNR Am J Neuroradiol 19 : 45-49, 1998
  14. Komiyama M, Nishikawa M, Yasui T : The accessory middle cerebral artery as a collateral blood supply. AJNR Am J Neuroradiol 18 : 587-590, 1997
  15. Kuwabara S, Naitoh H : Ruptured aneurysm at the origin of the accessory middle cerebral artery : case report. Neurosurgery 26 : 320-322, 1990 https://doi.org/10.1227/00006123-199002000-00022
  16. Miyazaki S, Ito K, Ishii S : Aneurysm at the origin of the accessory middle cerebral artery. Surg Neurol 22 : 292-294, 1984 https://doi.org/10.1016/0090-3019(84)90017-X
  17. Mueller DP, Sato Y, Yuh WT : Accessory middle cerebral artery as a source of collateral blood flow. AJNR Am J Neuroradiol 12 : 1223-1224, 1991
  18. Nakamura T, Houkin K, Saitoh H, Abe H : Aneurysm of the anterior communicating artery associated with accessory middle cerebral artery--case report. Neurol Med Chir (Tokyo) 37 : 747-751, 1997 https://doi.org/10.2176/nmc.37.747
  19. Otawara Y, Suzuki M, Abe M, Tomizuka N, Ogawa A : Dissecting aneurysms of the anterior cerebral artery and accessory middle cerebral artery. Case report. Neurosurg Rev 20 : 145-148, 1997 https://doi.org/10.1007/BF01138201
  20. Reis CV, Zabramski JM, Safavi-Abbasi S, Hanel RA, Deshmukh P, Preul MC : The accessory middle cerebral artery : anatomic report. Neurosurgery 63 : ONS10-ONS13; discussion ONS13-ONS14, 2008 https://doi.org/10.1227/01.NEU.0000315284.44157.4A
  21. Sugita S, Yuge T, Miyagi J, Fujimura N, Shigemori M : Giant aneurysm at the origin of the accessory middle cerebral artery. Surg Neurol 44 : 128-130, 1995 https://doi.org/10.1016/0090-3019(95)00128-X
  22. Tacconi L, Johnston FG, Symon L : Accessory middle cerebral artery. Case report. J Neurosurg 83 : 916-918, 1995 https://doi.org/10.3171/jns.1995.83.5.0916
  23. Takahashi S, Hoshino F, Uemura K, Takahashi A, Sakamoto K : Accessory middle cerebral artery : is it a variant form of the recurrent artery of Heubner? AJNR Am J Neuroradiol 10 : 563-568, 1989
  24. Teal JS, Rumbaugh CL, Bergeron RT, Segall HD : Anomalies of the middle cerebral artery : accessory artery, duplication, and early bifurcation. Am J Roentgenol Radium Ther Nucl Med 118 : 567-575, 1973 https://doi.org/10.2214/ajr.118.3.567
  25. Tran-Dinh H : The accessory middle cerebral artery a variant of the recurrent artery of Heubner (A. centralis longa)? Acta Anat (Basel) 126 : 167-171, 1986 https://doi.org/10.1159/000146209
  26. Uchino M, Kitajima S, Sakata Y, Honda M, Shibata I : Ruptured aneurysm at a duplicated middle cerebral artery with accessory middle cerebral artery. Acta Neurochir (Wien) 146 : 1373-1374; discussion 1375, 2004 https://doi.org/10.1007/s00701-004-0353-x
  27. Umansky F, Dujovny M, Ausman JI, Diaz FG, Mirchandani HG : Anomalies and variations of the middle cerebral artery : a microanatomical study. Neurosurgery 22 : 1023-1027, 1988 https://doi.org/10.1227/00006123-198806010-00008
  28. Waga S, Kojima T, Morooka Y, Sakakura M : Aneurysm of the accessory middle cerebral artery. Surg Neurol 8 : 359-360, 1977

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