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Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases.
- Source :
-
World neurosurgery: X [World Neurosurg X] 2019 Feb 05; Vol. 2, pp. 100018. Date of Electronic Publication: 2019 Feb 05 (Print Publication: 2019). - Publication Year :
- 2019
-
Abstract
- 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.<br />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.<br />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.
Details
- Language :
- English
- ISSN :
- 2590-1397
- Volume :
- 2
- Database :
- MEDLINE
- Journal :
- World neurosurgery: X
- Publication Type :
- Report
- Accession number :
- 31218292
- Full Text :
- https://doi.org/10.1016/j.wnsx.2019.100018