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Non Ruptured MCA Aneurysms Presenting with Insular Related Symptoms

Published online by Cambridge University Press:  02 December 2014

Ramez Malak ,
Dank Khoa Nguyen  and
Michel W. Bojanowski
Ramez Malak
Affiliation:
Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Dank Khoa Nguyen
Affiliation:
Division of Neurology, Notre- Dame Hospital, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
Michel W. Bojanowski*
Affiliation:
Division of Neurosurgery, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
*
Department of Neurosurgery, Notre-Dame Hospital, Centre Hospitalier de l'Universitée Montré, 1560 Sherbrooke Street East, Montreal, Quebec, H2L 4M1, Canada.
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Abstract

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Objective:

To present a new semiological description of unruptured middle cerebral artery (MCA) aneurysms.

Methods:

We present a series of three MCA aneurysms presenting with progressive or paroxystic somatosensory symptoms in combination with visceral, motor, language or autonomic symptoms.

Results:

A surgical approach was proposed for two aneurysms, and both patients experienced complete resolution of their symptoms. The third aneurysm was successfully excluded by endovascular coiling but the symptoms persisted.

Conclusions:

To our knowledge this is the first description of unruptured aneurysms presenting with insular-related symptoms.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 37 , Issue 2 , March 2010 , pp. 219 - 222
Copyright
Copyright © The Canadian Journal of Neurological 2010

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