Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jun;9(3):279-281.
doi: 10.1212/CPJ.0000000000000619.

Severe left MCA syndrome with an occluded accessory MCA

Affiliations
Case Reports

Severe left MCA syndrome with an occluded accessory MCA

Manya Khrlobyan et al. Neurol Clin Pract. 2019 Jun.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1. Coronal CTA brain and neck
Left M1 focal high-grade stenosis (arrow) and proximal left A1 segment abnormality (circle).
Figure 2
Figure 2. Angiograms
(A) Pretreatment cerebral angiogram. Left ICA cerebral angiogram demonstrating an occluded AMCA. (B) Post-treatment cerebral angiogram. Left ICA cerebral angiogram demonstrating a patent AMCA after thrombectomy. (C) Pretreatment capillary phase of cerebral angiogram. Left ICA capillary phase cerebral angiogram demonstrating decreased perfusion in the area of the occluded AMCA.

Comment in

References

    1. Duarte-Valdivieso N, Wong H, Moscote-Salazar L, Aquino-Matus J, Calderon-Miranda W, Agrawal A. Accessory middle cerebral artery: an uncommon finding. J Neurosci Rural Pract 2017;8:S139–S141. - PMC - PubMed
    1. Uchiyama N. Anomalies of the middle cerebral artery. Neurol Med Chir (Tokyo) 2017;57:261–266. - PMC - PubMed
    1. Hiramatsu Y, Wakita M, Matsuoka H, Kasuya J, Hamada R, Takashima H. Cerebral infarction associated with accessory middle cerebral arteries: two case reports. Intern Med 2014;53:1381–1384. - PubMed
    1. Bayer-Karpinska A, Lutz J, Birnabaum T, Dieterich M, Wollenweber F. Severe MCA stroke without MCA occlusion? Thrombectomy uncovers accessory middle cerebral artery. Neurology 2015;85:831–832. - PubMed
    1. Kuwahara H, Matsumura K, Watanabe M, Fujigasaki H. Intravenous t-PA for the occlusion of an accessory MCA. Intern Med 2013;52:163. - PubMed

Publication types