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A 51-year-old female presented with bilateral accessory middle cerebral arteries (MCA) with associated ruptured aneurysm manifesting as a subarachnoid hemorrhage. Angiography demonstrated the bilateral accessory MCA and associated ruptured aneurysm at the junction of the left anterior cerebral artery and left accessory MCA. This was successfully treated by coil embolization. Magnetic resonance angiography obtained 6 months later revealed no evidence of residual or recurring aneurysm. Copyright 2009 Elsevier Ltd. All rights reserved.

Citation

In Ho Lee, Pyoung Jeon, Keon Ha Kim, Hong Sik Byun, Hyung-Jin Kim, Sung Tae Kim, Jong Soo Kim. Endovascular treatment of a ruptured accessory middle cerebral artery aneurysm. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 2010 Mar;17(3):383-4

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PMID: 20074969

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