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Management of aneurysms at the origin of duplicated middle cerebral artery: A series of 4 patients with review of the literature.
MedLine Citation:
PMID:  23043997     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To review the management of aneurysms arising at the origin of a duplicated middle cerebral artery (DMCA) which is an extremely rare entity. METHODOLOGY: We present our 4 cases with ICA-DMCA aneurysms and review 24 previously published cases. RESULTS: Out of the 28 aneurysms 17 were ruptured and 11 unruptured. The aneurysms were equally distributed on the right and left sides and were small in size≤6mm except for two which were of medium size. All were treated surgically except for two very small ones which have been followed-up conservatively for 9 years. CONCLUSION: Although all previously published clinical cases of ICA-DMCA aneurysms were treated surgically, in very small unruptured ones conservative follow-up is a viable option.
Authors:
Ahmed Elsharkawy; Keisuke Ishii; Mika Niemelä; Riku Kivisaari; Hanna Lehto; Juha Hernesniemi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-5
Journal Detail:
Title:  World neurosurgery     Volume:  -     ISSN:  1878-8750     ISO Abbreviation:  World Neurosurg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528275     Medline TA:  World Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier Inc.
Affiliation:
Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland. Electronic address: ext-ahmed.elsharkawy@hus.fi.
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