Abstract
The patient was diagnosed with three intracranial aneurysms, one being a broad-necked aneurysm that incorporates the superior and inferior trunk of the left middle cerebral artery (MCA). The second aneurysm was located at the origin of the superior hypophyseal artery from the right internal carotid artery (ICA), and the third aneurysm consisted of a circumscribed ectasia on the right M1 segment. The case was discussed in our neuroradiological-neurosurgical vascular conference, and microsurgical clipping of the left-sided aneurysm was indicated. The other aneurysms were treated by endovascular flow diversion. Clipping was achieved via a left-sided small pterional craniotomy centered over the Sylvian fissure. The aneurysm was approached via a trans-Sylvian route. The clipping procedure was controlled with intraoperative ICG angiography. The postoperative course was uneventful. The postoperative angiography confirmed an optimal reconstruction of the left MCA bifurcation, and the aneurysm was completely obliterated.
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Ganslandt, O., Kurucz, P., Bhogal, P. (2018). Middle Cerebral Artery Bifurcation Aneurysm: Broad Neck Aneurysm, Incorporation of the Superior and Inferior MCA Trunk, Obliteration of the Aneurysm, and Reconstruction of the MCA Bifurcation with Four Clips. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_17-1
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DOI: https://doi.org/10.1007/978-3-319-70267-4_17-1
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