Cerebral Infarction Due to Occlusion of Main Trunk of Middle Cerebral Artery in Patient with Accessory Middle Cerebral Artery

Abstract The existence of an accessory middle cerebral artery (AMCA) usually has no pathological significance. Three patients developed cerebral infarction due to thromboembolic occlusion of the main trunk of the middle cerebral artery (MCA). In these patients, AMCA originating from the anterior cer...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2022-09, Vol.17 (3), p.495-499
Main Authors: Tsuchiya, Atsushi, Tsukiyama, Atsushi, Matsumoto, Shutaro, Uekusa, Toshimasa, Abe, Hiroyuki, Fukui, Issei, Iida, Yu, Mori, Kentaro, Kawahara, Yosuke, Tamase, Akira, Abe, Katsuya, Yamashita, Ryotaro, Takeda, Mutsuki, Nakano, Tatsu, Nomura, Motohiro
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract The existence of an accessory middle cerebral artery (AMCA) usually has no pathological significance. Three patients developed cerebral infarction due to thromboembolic occlusion of the main trunk of the middle cerebral artery (MCA). In these patients, AMCA originating from the anterior cerebral artery was intact, and ran to the lateral side along the main MCA. Emergency endovascular treatment to remove the thrombus in the main MCA was performed, and MCA was recanalized. In one patient, the main MCA re-occluded and cerebral infarction developed on the next day. The diameter of AMCA is commonly smaller than that of the main MCA. Therefore, volume of ischemic region depends on the collateral blood flow to the left MCA territory by AMCA. Once an anomalous MCA is detected in a patient with cerebral infarction involving the MCA territory, close examinations to assess the anatomy of both the main and anomalous MCA are mandatory.
ISSN:1793-5482
2248-9614
DOI:10.1055/s-0042-1757215