Endovascular glue embolization of dissecting aneurysm of type-3 accessory middle cerebral artery: A contralateral approach

Pediatric intracranial aneurysms are rare with a reported prevalence of 0.5–4.6%. Likewise, anomalous arterial patterns are uncommon in the cerebral circulation. Recognition of these variations and knowledge of vascular territory forms the key to managing pathological conditions associated with thes...

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Bibliographic Details
Published in:Interventional neuroradiology 2015-12, Vol.21 (6), p.664-668
Main Authors: Parthasarathy, Rajsrinivas, Goel, Gaurav, Gupta, Vipul, Narang, Karanjit Singh, Anand, Saurabh, Jha, Ajaya Nand
Format: Article
Language:English
Subjects:
Aneurysm
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - therapy
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - therapy
Cerebral Angiography
Child, Preschool
Diagnosis, Differential
Embolization, Therapeutic - methods
Female
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - therapy
Magnetic Resonance Imaging
Middle Cerebral Artery
Tissue Adhesives - therapeutic use
Tomography, X-Ray Computed
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Summary:Pediatric intracranial aneurysms are rare with a reported prevalence of 0.5–4.6%. Likewise, anomalous arterial patterns are uncommon in the cerebral circulation. Recognition of these variations and knowledge of vascular territory forms the key to managing pathological conditions associated with these anomalous vessels. Ruptured dissecting aneurysm of type-3 accessory middle cerebral artery (aMCA) has not been reported in the pediatric age group. In addition to type-3 aMCA, the child in this case report had an ipsilateral type-1 aMCA with cortical supply. We describe the patterns of accessory MCA and their vascular territory, state the perplexity involved in deciding the best management strategy, and describe the technical approach we undertook to catheterize this small caliber recurrent artery (type-3 aMCA) originating at an acute angle from the anterior cerebral artery.
ISSN:1591-0199
2385-2011
DOI:10.1177/1591019915609780