Middle cerebral artery bifurcation aneurysm

A middle cerebral artery bifurcation aneurysm is an Aneurysm located at the bifurcation of the Middle cerebral artery.

Epidemiology

Of all middle cerebral artery aneurysms, middle cerebral artery bifurcation aneurysms are the most common, accounting for approximately 83%[^1].

Classification

Depending on the author, middle cerebral artery bifurcation aneurysms can be further divided into 3[^2] to 5[^1] subgroups based on the anatomical configuration of the aneurysm.

Imaging

MCA bifurcation aneurysm on CT angiography
Right-sided MCA bifurcation aneurysm (CT angiography).
Digital subtraction angiography of a middle cerebral artery bifurcation aneurysm
Diagnostic digital subtraction angiography of a patient with an aneurysm at the middle cerebral artery bifurcation.

Figure

Middle cerebral artery bifurcation aneurysm
Intraoperative photograph of an untreated middle cerebral artery bifurcation aneurysm prior to surgical treatment with clipping.

Treatment

Depending on the exact aneurysm configuration, middle cerebral artery bifurcation aneurysms can be treated either endovascularly or with open surgery.

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