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2016, Number 2

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Acta Med 2016; 14 (2)

Accessory middle cerebral artery: radiological clinical case

Paniagua OMJ, Carrillo MRA, Sánchez CJ, Gómez PMG
Full text How to cite this article

Language: Spanish
References: 4
Page: 101-103
PDF size: 138.13 Kb.


Key words:

Anatomical variations of the middle cerebral artery, accessory middle cerebral artery, duplicated middle cerebral artery.

ABSTRACT

The middle cerebral artery (MCA) is the larger of the two terminal branches of the internal carotid artery (ICA). There are different anatomical variations of the MCA, the most frequent are duplicated MCA, an accessory MCA, and fenestrated MCA. According to the classification of Teal et al. when the two vessels arise from the most distal portion of the internal carotid artery is called duplicated MCA. The term accessory MCA is used when the anomalous vessel arises directly from the anterior cerebral artery. Cerebral aneurysms are found more frequently in cases with anatomical variants such as accessory middle cerebral artery. Proper recognition of these anatomic variants by magnetic resonance angiography is vital for proper assessment and monitoring.


REFERENCES

  1. Arslan E, Öztürk A. Incidental bilateral accessory middle cerebral arteries on MR imaging and MR angiography. Diagn Interv Radiol. 2007; 13 (1): 10-12.

  2. Komiyama M, Nakajima H, Nishikawa M, Yasui T. Middle cerebral artery variations: duplicated and accessory arteries. AJNR Am J Neuroradiol. 1998; 19 (1): 45-49.

  3. Chang H, Kim M. Middle cerebral artery duplication: classification and clinical implications. J Korean Neurosurg Soc. 2011; 49 (2): 102-106.

  4. Reyes-Soto G, Pérez-Cruz J, Delgado-Reyes L. Asociación de tres variantes anatómicas de circulación cerebral anterior. Cirugía y Cirujanos. 2012; 80 (4): 333-338.




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Acta Med. 2016;14