title: Saccular aneurysm of the accessory middle cerebral artery--case report.
abstract: A 30-year-old man presented with a rare ruptured saccular aneurysm located at the junction of the accessory middle cerebral artery and the horizontal portion (A1 segment) of the anterior cerebral artery. A right frontotemporal craniotomy was performed and the aneurysm was clipped through a transsylvian approach. The postoperative course was uneventful and he was discharged in good condition. The transsylvian approach is the method of choice for such aneurysm.
authors.affiliation: Department of Neurosurgery, Iwate Prefectural Iwai Hospital, Ichinoseki, Iwate, Japan. kfujiwara-nsu@umin.ac.jp
authors.forename: Kazunori
authors.initials: K
authors.lastname: Fujiwara
authors.forename: Keiichi
authors.initials: K
authors.lastname: Saito
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Ebina
mesh_terms: D000328:Adult; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography