Yılmaz Murat, Yurt Alaattin, Kalemci Orhan, Yuksel Zafer K, Yücesoy Kemal
Department of Neurosurgery, Dokuz Eylul University, İzmir, Turkey.
Int J Surg Case Rep. 2013;4(10):837-8. doi: 10.1016/j.ijscr.2013.06.015. Epub 2013 Jul 17.
This report describes a rare case of a distal middle cerebral artery (dMCA) aneurysm.
That developed a right intracerebral haematoma and subarachnoid haemorrhage. It was treated by surgical exploration and clipping via pterional approach.
Clinical findings and surgical approaches of dMCA aneurysm are different from proximal middle cerebral artery (MCA) aneurysms. Microneurosurgical clipping is the most effective treatment of dMCA aneurysm.
We comprehensively review the literature related to these rare aneurysms within the temporal lobe, surgical anatomy of the dMCA aneurysm.
本报告描述了一例罕见的大脑中动脉远端（dMCA）动脉瘤病例。
该病例出现了右侧脑内血肿和蛛网膜下腔出血。通过翼点入路进行手术探查和夹闭治疗。
dMCA动脉瘤的临床表现和手术入路与大脑中动脉近端（MCA）动脉瘤不同。显微神经外科夹闭是dMCA动脉瘤最有效的治疗方法。
我们全面回顾了与颞叶内这些罕见动脉瘤、dMCA动脉瘤手术解剖相关的文献。
