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Middle Cerebral Artery Anomalies Detected by Conventional Angiography and Magnetic Resonance Angiography  

Kim, Myoung-Soo (Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine)
Hur, Jin-Woo (Department of Neurosurgery, Cheongju Saint Mary's Hospital)
Lee, Jong-Won (Department of Neurosurgery, Cheongju Saint Mary's Hospital)
Lee, Hyun-Koo (Department of Neurosurgery, Cheongju Saint Mary's Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.37, no.4, 2005 , pp. 263-267 More about this Journal
Abstract
Objective: Middle cerebral artery(MCA) anomalies are found incidentally on conventional cerebral angiography and magnetic resonance angiography(MRA). Our goal is to examine the incidence and types of MCA anomalies. Methods: Cerebral angiography was performed in 448 patients and MRA in 743; the patients had or were suspected to have cerebrovascular disease. The images were retrospectively evaluated for arterial anatomic anomalies. We use Teal's classification for definition of accessory and duplicated MCAs. Results: On cerebral angiography, the following anomalies of the MCA were found in seven patients: fenestration (n = 2, incidence = 0.45%); duplication (n = 2, incidence = 0.45%); accessory MCA (n = 2, incidence = 0.45%); aplasia (n = 1, incidence = 0.22%). On MRA, eight patients had anomalous MCAs : fenestration (n = 1, incidence = 0.14%); duplication (n= 6, incidence = 0.81%); accessory (n = 1, incidence = 0.14%). Conclusion: Although the clinical significance is not great, we find a relatively high incidence of anomalous MCAs. Knowledge and recognition of these MCA anomalies are useful and important in the interpretation of cerebral images and during neurosurgical procedures.
Keywords
Middle cerebral artery; Vascular anomalies; Cerebral angiography; Magnetic resonance angiography;
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1 Gibo H, Lenkey C, Rhoton AL Jr : Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J Neurosurg 55 : 560-574, 1981   DOI   PUBMED
2 Hong JT, Huh PW, Chung DS, Kye DK, Cho KS, Kim DS, et al : Accessory Middle Cerebral Artery. J Korean Neurosurg Soc 26 : 435-438, 1997
3 Mueller DP, Sato Y, Yuh WT : Accessory middle cerebral artery as a source of collateral blood flow. Am J Neuroradiol 12 : 1223-1224, 1991
4 Park IS, Huh PW, Lee GS, Choi CR : Duplication of the middle ceraebral artery-case report-. J Korean Neurosurg Soc 22 ; 1026-1028, 1993
5 Sanders WP, Sorek PA, Mehta BA : Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. Am J Neuroradiol 14 : 675-680, 1993
6 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   DOI   PUBMED
7 Elmac I, Baltacioglu F, Ekinci G, Erzen C, Pamir N : Middle cerebral artery duplication associated with multiple intracranial aneurysms. Case report. J Neurosurg Sci 45 : 232-234, 2001   PUBMED
8 Okudera H, Koike J, Toba Y, Kuroyanagi T, Kyoshima K, Kobayashi S : Fenestration of the middle cerebral artery associated with cerebral infarction. Report of two cases. Neurol Med Chir (Tokyo) 27 : 559-563, 1987   DOI   PUBMED
9 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   DOI   PUBMED
10 Koyama S, Kotani A, Sasaki J, Tazoe M, Tsubokawa T : Ruptured aneurysm at the origin of duplication of the middle cerebral arterycase report. Neurol Med Chir (Tokyo) 35 : 671-673, 1995   DOI   ScienceOn
11 Tacconi L, Johnston FG, Symon L : Accessory middle cerebral artery. Case report. J Neurosurg 83 : 916-918, 1995   DOI   ScienceOn
12 Nakazawa T, Suzuki F, Miyamoto Y, Matsuda M : Aplasia of the proximal middle cerebral artery associated with an aneurysm of the proximal anterior cerebral artery. Case report. Nippon Geka Hokan 54 : 521-525, 1985   PUBMED
13 Uchino A, Kato A, Takase Y, Kudo S : Middle cerebral artery variations detected by magnetic resonance angiography. Eur Radiol 10 : 560-563, 2000   DOI   ScienceOn
14 Gailloud P, Albayram S, Fasel JH, Beauchamp NJ, Murphy KJ : Angiographic and embryologic considerations in five cases of middle cerebral artery fenestration. Am J Neuroradiol 23 : 585-587, 2002
15 Umansky F, Juarez SM, Dujovny M, Ausman JI, Diaz FG, Gomes F, et al : Microsurgical anatomy of the proximal segments of the middle cerebral artery. J Neurosurg 61 : 458-467, 1984   DOI   PUBMED
16 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   DOI   ScienceOn
17 Komiyama M, Nakajima H, Nishikawa M, Yasui T : Middle cerebral artery variations : duplicated and accessory arteries. Am J Neuroradiol 19 : 45-49, 1998
18 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? Am J Neuroradiol 10 : 563-568, 1989   PUBMED
19 Deruty R, Pelissou-Guyotat I, Mottolese C, Bognar L, Laharotte JC, Turjman F : Fenestration of the middle cerebral artery and aneurysm at the site of the fenestration. Neurol Res 14 : 421-424, 1992   DOI   PUBMED
20 Kang SD, Kim JM : An aneurysm arising at the site of the middle cerebral artery duplication. J Korean Neurosurg Soc 25 ; 1318-1322, 1996
21 Nakamura H, Takada A, Hide T, Ushio Y : Fenestration of the middle cerebral artery associated with an aneurysm-case report. Neurol Med Chir (Tokyo) 34 : 555-557, 1994   DOI   ScienceOn
22 Handa J, Shimizu Y, Matsuda M, Handa H : The accessory middle cerebral artery : report of further two cases. Clin Radiol 21 : 415-416, 1970   DOI   ScienceOn
23 Stabler J : Two cases of accessory middle cerebral artery, including one with an aneurysm at its origin. Br J Radiol 43 : 314-318, 1970   DOI   ScienceOn
24 Amagasaki K, Yagishita T, Kawataki T, Kase M, Nukui H : Middle cerebral artery aplasia associated with an aneurysm of the proximal anterior cerebral artery. Acta Neurochir (Wien) 140 : 1313-1314, 1998   DOI   ScienceOn