Multimodality Treatment of an Unruptured Duplicated Middle Cerebral Artery Aneurysm : A Case Report and Literature Review

A duplicated middle cerebral artery (DMCA) aneurysm is characterized by the presence of an aneurysm at the bifurcation of the original and duplicated middle cerebral arteries. The authors reported a very rare case that had a DMCA aneurysm and underwent multimodality treatment. The patient was 49-year-old male and presented with headache. His examinations revealed an aneurysm at the origin of the DMCA. The aneurysm was treated with surgical clipping under the endoscope-assisted microsurgery-integrated indocyanine green video-angiography. The patient was uneventful and discharged on postoperative day 10. That is the first case reported in the literature having such aneurysms treated with multimodality treatment.

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