Surgical management of middle cerebral artery aneurysms

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Middle cerebral artery aneurysms arise mostly at the bifurcation of the horizontal part (M1) of the middle cerebral artery. In many cases, proper dissection of the sylvian fissure allows observation of the whole aneurismal structure, so that neck clipping is not so difficult. However, care should be taken to avoid postoperative morbidity in particular cases including a short M1, broad neck, and atherosclerosis of the neck/body. Surgical techniques for those cases are described in detail.

Original languageEnglish
Pages (from-to)376-381
Number of pages6
JournalJapanese Journal of Neurosurgery
Issue number5
Publication statusPublished - 2004 May


  • Aneurysm
  • Middle cerebral artery
  • Surgery


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