Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases
Background: An aplastic or twig-like middle cerebral artery (Ap/T-MCA) is a rare congenital anomaly that can present with both ischemic and hemorrhagic stroke. The etiology of this pathology has remained unclear. Here, we report 2 cases of intracerebral hemorrhage (ICH) owing to an Ap/T-MCA in pregn...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-04-01
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| Series: | World Neurosurgery: X |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590139719300493 |
| _version_ | 1818311017628696576 |
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| author | Yudai Goto Hideki Oka Shiho Hiraizumi Takanari Okamoto Sho Nishii Hiroyuki Yamamoto Takumi Yamanaka Masataka Nanto Naoto Shiomi Akihiko Hino Naoya Hashimoto |
| author_facet | Yudai Goto Hideki Oka Shiho Hiraizumi Takanari Okamoto Sho Nishii Hiroyuki Yamamoto Takumi Yamanaka Masataka Nanto Naoto Shiomi Akihiko Hino Naoya Hashimoto |
| author_sort | Yudai Goto |
| collection | DOAJ |
| description | Background: An aplastic or twig-like middle cerebral artery (Ap/T-MCA) is a rare congenital anomaly that can present with both ischemic and hemorrhagic stroke. The etiology of this pathology has remained unclear. Here, we report 2 cases of intracerebral hemorrhage (ICH) owing to an Ap/T-MCA in pregnant patients. Case Description: In both patients, cerebral angiography revealed a steno-occlusive lesion and an abnormal arterial network on the unilateral middle cerebral artery. One patient was treated conservatively for a putaminal hemorrhage, and a cesarean section was performed uneventfully 6 months after onset of the ICH. The other patient underwent a craniotomy for evacuation of the lobar hemorrhage. Subsequently, a cesarean section was performed uneventfully. Both patients gradually recovered without significant disabilities. Conclusions: An Ap/T-MCA is a rare congenital anomaly and is a potential cause of ICH for pregnant patients. A cesarean section is a useful option for pregnant patients with this condition. Key words: Cesarean section, Intracerebral hemorrhage, Middle cerebral artery, Moyamoya disease, Pregnancy, Twig-like MCA |
| first_indexed | 2024-12-13T07:55:16Z |
| format | Article |
| id | doaj.art-148b7c91b81346848b52c252e866e442 |
| institution | Directory Open Access Journal |
| issn | 2590-1397 |
| language | English |
| last_indexed | 2024-12-13T07:55:16Z |
| publishDate | 2019-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Neurosurgery: X |
| spelling | doaj.art-148b7c91b81346848b52c252e866e4422022-12-21T23:54:33ZengElsevierWorld Neurosurgery: X2590-13972019-04-012Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two CasesYudai Goto0Hideki Oka1Shiho Hiraizumi2Takanari Okamoto3Sho Nishii4Hiroyuki Yamamoto5Takumi Yamanaka6Masataka Nanto7Naoto Shiomi8Akihiko Hino9Naoya Hashimoto10Department of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; To whom correspondence should be addressed: Yudai Goto, M.D.Department of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Emergency and Critical Care Center, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Emergency and Critical Care Center, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanBackground: An aplastic or twig-like middle cerebral artery (Ap/T-MCA) is a rare congenital anomaly that can present with both ischemic and hemorrhagic stroke. The etiology of this pathology has remained unclear. Here, we report 2 cases of intracerebral hemorrhage (ICH) owing to an Ap/T-MCA in pregnant patients. Case Description: In both patients, cerebral angiography revealed a steno-occlusive lesion and an abnormal arterial network on the unilateral middle cerebral artery. One patient was treated conservatively for a putaminal hemorrhage, and a cesarean section was performed uneventfully 6 months after onset of the ICH. The other patient underwent a craniotomy for evacuation of the lobar hemorrhage. Subsequently, a cesarean section was performed uneventfully. Both patients gradually recovered without significant disabilities. Conclusions: An Ap/T-MCA is a rare congenital anomaly and is a potential cause of ICH for pregnant patients. A cesarean section is a useful option for pregnant patients with this condition. Key words: Cesarean section, Intracerebral hemorrhage, Middle cerebral artery, Moyamoya disease, Pregnancy, Twig-like MCAhttp://www.sciencedirect.com/science/article/pii/S2590139719300493 |
| spellingShingle | Yudai Goto Hideki Oka Shiho Hiraizumi Takanari Okamoto Sho Nishii Hiroyuki Yamamoto Takumi Yamanaka Masataka Nanto Naoto Shiomi Akihiko Hino Naoya Hashimoto Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases World Neurosurgery: X |
| title | Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases |
| title_full | Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases |
| title_fullStr | Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases |
| title_full_unstemmed | Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases |
| title_short | Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases |
| title_sort | aplastic or twig like middle cerebral artery presenting with intracerebral hemorrhage during pregnancy report of two cases |
| url | http://www.sciencedirect.com/science/article/pii/S2590139719300493 |
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