Endovascular treatment of an "anterior cerebral artery" aneurysm in a patient with "embryonic unfused middle cerebral artery" anomaly: a case report

Cekirge H., Peynircioglu B., Saatci I.

NEURORADIOLOGY, vol.47, no.9, pp.690-694, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 47 Issue: 9
  • Publication Date: 2005
  • Doi Number: 10.1007/s00234-005-1407-3
  • Journal Name: NEURORADIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.690-694
  • Hacettepe University Affiliated: No


We report a unique case of an anterior cerebral artery aneurysm in a patient with embryonic unfused middle cerebral artery anomaly. The arterial twigs of the middle cerebral artery supply the entire middle cerebral artery territory including the lenticulostriate branches. There was a vessel incorporated into the aneurysm, which was referred to as an accessory middle cerebral artery and it gave rise to a lenticulostriate branch. The aneurysm was occluded with detachable coils using a remodeling technique. After successful occlusion of the aneurysm the so-called accessory middle cerebral artery including its lenticulostriate branch started to fill from the anomalous middle cerebral artery network and the patient did not experience any ischemic injury.