Author/Authors :
Hossain Chowdhury, Forhad Dept. of Neurosurgery - Dhaka Medical College Hospital, Dhaka , Haque, Raziul Dept. of Neurosurgery - Dhaka Medical College Hospital, Dhaka , Islam, Shafiqul Dept. of Neurosurgery - Dhaka Medical College Hospital, Dhaka , Chandra Sarkere, Asit Dept. of Neurosurgery - Dhaka Medical College Hospital, Dhaka , Morshed Alam, Sarwar Dept. of Neurosurgery - Dhaka Medical College Hospital, Dhaka
Abstract :
Intracranial arterial dissection or dissecting aneurysm is relatively uncommon and usually involve the vertebrobasilar system. Here we report a pediatric case of middle cerebral artery dissection/dissecting aneurysm with sub arachnoid hemorrhage and Sylvian fissure hematoma on dominant side. After initial evacuation of hematoma, we went for trapping and excision of dissection/dissecting aneurysm followed by STA-MCA bypass. Patient recovered fully from her neurological deficit. Probably this is the first reported case of STA-MCA bypass in Bangladesh.
Keywords :
STA , MCA bypass , Middle cerebral artery dissecting aneurysm , Intracranial fusiform aneurysm
