Summary
We are recording the first reported case of a 20-year-old man with an intracerebral haemorrhage due to a ruptured aneurysm, which arose from a penetrating artery of the distal middle cerebral artery (MCA; M4 segment). Excision of the aneurysm was successfully achieved via a right pterional approach. The follow-up angiogram demonstrated filling of the parent vessel and no residual aneurysm. This report illustrates the angiographical finding of a penetrating artery aneurysm of the distal MCA and summarizes the previous reports to discuss their pathological and clinical characteristics.
Similar content being viewed by others
References
M Bergsneider JG Frazee AA DeSalles (1994) ArticleTitleThalamostriate artery aneurysm within the third ventricle. Case report. J Neurosurg 81 463–465 Occurrence Handle8057156 Occurrence Handle1:STN:280:ByuA3svntlI%3D
M Endo C Ochiai K Watanabe Y Yoshimoto S Wakai (1996) ArticleTitleRuptured peripheral lenticulostriate artery in a child: case report. No shinkei Geka (in Japanese) 24 961–964 Occurrence Handle1:STN:280:ByiD2s7itlc%3D
Z Ghogawala JM Shumacher CS Ogilvy (1996) ArticleTitleDistal basilar perforator artery aneurysm: case report. Neurosurgery 39 393–396 Occurrence Handle10.1097/00006123-199608000-00034 Occurrence Handle8832680 Occurrence Handle1:STN:280:BymH38blsl0%3D
H Gibo CC Carver AL Rhoton SuffixJr C Lenkey RJ Mitchell (1981) ArticleTitleMicrosurgical anatomy of the middle cerebral artery. J Neurosurg 54 151–169 Occurrence Handle7452329 Occurrence Handle1:STN:280:Bi6D1Mrpt1c%3D
T Horiuchi Y Tanaka H Takasawa T Murata T Yako K Hongo (2004) ArticleTitleRuptured distal middle cerebral artery aneurysm. J Neurosurg 100 384–388 Occurrence Handle15035272
J Kidoguchi M Chiba T Murakami I Saiki H Kanaya M Tazawa M Tamura (1987) ArticleTitleA case of systemic lupus erythematosus associated with aneurysm of lenticulostriate artery. No Shinkei Geka (in Japanese) 15 1221–1225 Occurrence Handle1:STN:280:BieC2czisVw%3D
N Leeds H Goldberg (1970) ArticleTitleLenticulostriate artery abnormalities: value of serial magnification. Radiology 97 377–383 Occurrence Handle5481144 Occurrence Handle1:STN:280:CS6D3snivFc%3D
K Maeda T Fujimaki T Morimoto T Toyoda (2001) ArticleTitleCerebral aneurysms in the perforating artery manifesting intracerebral and subarachnoid haemorrhage – Report of two cases. Acta Neurochir (Wien) 143 1153–1156 Occurrence Handle1:STN:280:DC%2BD3MnosVeltA%3D%3D
T Mizutani H Kojima Y Miki (2000) ArticleTitleArterial dissections of penetrating cerebral arteries causing hypertension-induced cerebral hemorrhage. J Neurosurg 93 859–862 Occurrence Handle11059669 Occurrence Handle1:STN:280:DC%2BD3crgslygtQ%3D%3D
H Murakami T Mine T Nakamura T Aki K Suzuki (1984) ArticleTitleIntracerebral hemorrhage due to rupture of true aneurysms of the lenticulostriate artery in moyamoya disease. Case report. Neurol Med Chir (Tokyo) (in Japanese) 24 794–799 Occurrence Handle1:STN:280:BiqC3M7kt1E%3D
H Ohta Z Ito K Nakajima H Fukawasa K Uemura (1980) ArticleTitleA case report of ruptured lenticulostriate artery aneurysm with arteriovenous malformation. No To Shinkei (in Japanese) 32 839–846 Occurrence Handle1:STN:280:Bi6C3szptF0%3D
K Oka F Maehara M Tomonaga (1991) ArticleTitleAneurysm of the lenticulostriate artery-report of four cases. Neurol Med Chir (Tokyo) 31 582–585 Occurrence Handle1:STN:280:By2C3s7itVc%3D Occurrence Handle10.2176/nmc.31.582
W Olmsted T McGee (1977) ArticleTitleThe pathogenesis of peripheral aneurysms of the central nervous system: a subject review from AFIP. Radiology 123 661–666 Occurrence Handle577015 Occurrence Handle1:STN:280:CSiC2szntFY%3D
J Rinne J Hernesniemi M Niskanen M Vapalahti (1996) ArticleTitleAnalysis of 561 patients with 690 middle cerebral artery aneurysms: anatomic and clinical features as correlated to management outcome. Neurosurgery 38 2–11 Occurrence Handle8747945 Occurrence Handle1:STN:280:BymA2MvgtV0%3D
KJ Strully (1955) ArticleTitleSuccessful removal of intraventricular aneurysm of the choroidal artery. J Neurosurg 12 317–321 Occurrence Handle14381939 Occurrence Handle1:STN:280:CyqD1czmvF0%3D
K Yanaka K Meguro K Narushima S Takano M Doi T Nose (1998) ArticleTitleBasal perforating artery aneurysm within the cavum septi pellucidi. J Neurosurg 88 601–604 Occurrence Handle9488321 Occurrence Handle1:STN:280:DyaK1c7kslKntw%3D%3D
MG Yaşargil (1984) Microneurosurgery II: clinical considerations, surgery of the intracranial aneurysms and results. Georg Thieme Verlag Stuttgart 124–164
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ahn, J., Han, I. & Joo, J. Aneurysm in the penetrating artery of the distal middle cerebral artery presenting as intracerebral haemorrhage. Acta Neurochir (Wien) 147, 1287–1290 (2005). https://doi.org/10.1007/s00701-005-0622-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-005-0622-3