Noguchi S, Shigemori M, Hara K, Ishibashi A, Watanabe M, Kuramoto S
Department of Neurosurgery, Kurume University School of Medicine, Japan.
No Shinkei Geka. 1988 Jan;16(1):81-4.
A rare case of duplication of the middle cerebral artery associated with an arteriovenous malformation of the left temporal lobe is reported. A 45-year-old man was admitted to our clinic on January 7, 1985 with a history of sudden onset of headache and nausea, followed by loss of consciousness for 20 minutes. Neurological signs were negative on admission. An arteriovenous malformation of the left temporal lobe fed by a duplicated middle cerebral artery and the original MCA were demonstrated on left carotid angiography. No other vascular lesion was observed on the angiograms. The arteriovenous malformation was successfully removed on January 17, 1985. Postoperative course was uneventful. Embryological relation of duplication of the middle cerebral artery to other cerebrovascular anomalies is briefly discussed.
报告了一例罕见的大脑中动脉重复畸形伴左侧颞叶动静脉畸形的病例。一名45岁男性于1985年1月7日因突发头痛和恶心入院，随后意识丧失20分钟。入院时神经系统体征为阴性。左侧颈动脉血管造影显示，左侧颞叶动静脉畸形由重复的大脑中动脉和原始大脑中动脉供血。血管造影未观察到其他血管病变。1985年1月17日成功切除动静脉畸形。术后过程顺利。简要讨论了大脑中动脉重复畸形与其他脑血管异常的胚胎学关系。
