End-to-end reanastomosis for a ruptured middle cerebral artery fusiform aneurysm
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F26068877%3A_____%2F25%3AN0000046" target="_blank" >RIV/26068877:_____/25:N0000046 - isvavai.cz</a>
Result on the web
<a href="https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/105806/85213" target="_blank" >https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/105806/85213</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5603/pjnns.105806" target="_blank" >10.5603/pjnns.105806</a>
Alternative languages
Result language
angličtina
Original language name
End-to-end reanastomosis for a ruptured middle cerebral artery fusiform aneurysm
Original language description
Fusiform aneurysms of the middle cerebral artery are rare and may be unsuitable for conventional clipping or endovascular treatment. We report the case of a 62-year-old woman who presented with sudden severe headache, nausea, photophobia, dysarthria, and mild left upper-extremity paresis. Computed tomography revealed subarachnoid hemorrhage in the right Sylvian fissure and an intracerebral hematoma in the right frontal lobe. CT angiography identified a small fusiform aneurysm of an M3 branch of the right middle cerebral artery. Owing to its distal location, narrow vessel diameter, and absence of a distinct aneurysm neck, endovascular treatment was not feasible. During urgent microsurgery, a 5-mm thrombosed fusiform aneurysm was identified and completely resected. The mobilized proximal and distal arterial stumps were reconstructed by end-to-end microanastomosis using an interrupted suturing technique. Intraoperative indocyanine green angiography confirmed anastomotic patency. Postoperative imaging demonstrated preserved flow through the reconstructed M3 branch without new ischemic lesions. At three months and one year after surgery, the patient remained neurologically intact, with a modified Rankin Scale score of 0. This case demonstrates that intracranial end-to-end reanastomosis can provide an effective reconstructive option for selected ruptured fusiform aneurysms that cannot be treated by standard microsurgical or endovascular techniques.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30210 - Clinical neurology
Result continuities
Project
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Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Neurologia i Neurochirurgia Polska
ISSN
0028-3843
e-ISSN
1897-4260
Volume of the periodical
8IO9R
Issue of the periodical within the volume
8IO9R
Country of publishing house
PL - POLAND
Number of pages
3
Pages from-to
1-3
UT code for WoS article
001589535000001
EID of the result in the Scopus database
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