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Ruptured aneurysm at the perforating artery supplying the insula : Case report

Inci, Servet ; Akbay, Atila ; Hazer, Burcu LU orcid ; Yavuz, Kivilcim and Ozgen, Tuncalp (2009) In Neurosurgery 65(1). p.206-207
Abstract

OBJECTIVE: Aneurysms originating from perforating branches of the middle cerebral artery are quite rare. Most of them arise from the lenticulostriate arteries, frequently located within the basal ganglia. We report a perforating artery aneurysm that was entirely embedded within the limen insulae. CLINICAL PRESENTATION: A 41-year-old man presented with an insular hematoma without subarachnoid hemorrhage caused by rupture of a small aneurysm on a perforating artery of the proximal middle cerebral artery supplying the insula. INTERVENTION: This rare aneurysm was resected via the transsylvian-insular approach. CONCLUSION: Although very rare, perforating artery aneurysms should be considered in young or middle-aged patients with an atypical... (More)

OBJECTIVE: Aneurysms originating from perforating branches of the middle cerebral artery are quite rare. Most of them arise from the lenticulostriate arteries, frequently located within the basal ganglia. We report a perforating artery aneurysm that was entirely embedded within the limen insulae. CLINICAL PRESENTATION: A 41-year-old man presented with an insular hematoma without subarachnoid hemorrhage caused by rupture of a small aneurysm on a perforating artery of the proximal middle cerebral artery supplying the insula. INTERVENTION: This rare aneurysm was resected via the transsylvian-insular approach. CONCLUSION: Although very rare, perforating artery aneurysms should be considered in young or middle-aged patients with an atypical intracerebral hematoma. This report discusses radiological and surgical characteristics of this unusual aneurysm.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Aneurysm, Insula, Intracerebral hematoma, Perforating artery
in
Neurosurgery
volume
65
issue
1
pages
206 - 207
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:19574801
  • scopus:67651173319
ISSN
0148-396X
DOI
10.1227/01.NEU.0000346270.89755.1E
language
English
LU publication?
no
id
264e15b0-143c-4700-a840-ca8e4bfb26a1
date added to LUP
2025-05-11 22:44:49
date last changed
2025-05-13 03:16:30
@article{264e15b0-143c-4700-a840-ca8e4bfb26a1,
  abstract     = {{<p>OBJECTIVE: Aneurysms originating from perforating branches of the middle cerebral artery are quite rare. Most of them arise from the lenticulostriate arteries, frequently located within the basal ganglia. We report a perforating artery aneurysm that was entirely embedded within the limen insulae. CLINICAL PRESENTATION: A 41-year-old man presented with an insular hematoma without subarachnoid hemorrhage caused by rupture of a small aneurysm on a perforating artery of the proximal middle cerebral artery supplying the insula. INTERVENTION: This rare aneurysm was resected via the transsylvian-insular approach. CONCLUSION: Although very rare, perforating artery aneurysms should be considered in young or middle-aged patients with an atypical intracerebral hematoma. This report discusses radiological and surgical characteristics of this unusual aneurysm.</p>}},
  author       = {{Inci, Servet and Akbay, Atila and Hazer, Burcu and Yavuz, Kivilcim and Ozgen, Tuncalp}},
  issn         = {{0148-396X}},
  keywords     = {{Aneurysm; Insula; Intracerebral hematoma; Perforating artery}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{206--207}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Neurosurgery}},
  title        = {{Ruptured aneurysm at the perforating artery supplying the insula : Case report}},
  url          = {{http://dx.doi.org/10.1227/01.NEU.0000346270.89755.1E}},
  doi          = {{10.1227/01.NEU.0000346270.89755.1E}},
  volume       = {{65}},
  year         = {{2009}},
}