
Superficial Temporal Artery-Middle Cerebral Artery Bypass (STA-MCA) for Middle Cerebral Artery Dissecting Aneurysm in a Child
Author(s) -
Forhad Hossain Chowdhury,
Raziul Haque,
Shafiqul Islam,
Asit Chandra Sarker,
Shariful Alam
Publication year - 2015
Publication title -
journal of bangladesh college of physicians and surgeons/journal of bangladesh college of physicians and surgeons
Language(s) - English
Resource type - Journals
eISSN - 2309-6365
pISSN - 1015-0870
DOI - 10.3329/jbcps.v32i2.26038
Subject(s) - medicine , middle cerebral artery , aneurysm , superficial temporal artery , dissection (medical) , hematoma , arterial dissection , cerebral arteries , surgery , neurological deficit , cardiology , ischemia
Intracranial arterial dissection or dissecting aneurysm is relatively uncommon and usually involve the vertebrobasilar system. Here we report a pediatric case of middle cerebral artery dissection/dissecting aneurysm with sub arachnoid hemorrhage and Sylvian fissure hematoma on dominant side. After initial evacuation of hematoma, we went for trapping and excision of dissection/dissecting aneurysm followed by STA-MCA bypass. Patient recovered fully from her neurological deficit. Probably this is the first reported case of STA-MCA bypass in Bangladesh.J Bangladesh Coll Phys Surg 2014; 32: 94-98