• Acta neurochirurgica · Dec 2005

    Case Reports

    Aneurysm in the penetrating artery of the distal middle cerebral artery presenting as intracerebral haemorrhage.

    • J Y Ahn, I B Han, and J Y Joo.
    • Department of Neurosurgery, College of Medicine, Pochon CHA University, Sungnam, South Korea. jyahn@cha.ac.kr
    • Acta Neurochir (Wien). 2005 Dec 1;147(12):1287-90; discussion 1290.

    AbstractWe 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.

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