Two Cases of Mechanical Thrombectomy in Patients with Fenestration of the M1 Segment of the Middle Cerebral Artery
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- NAKADATE Masashi
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- KONDO Ryushi
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- ISHIHARA Shoichiro
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- UEMIYA Nahoko
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- KAKEHI Yoshiaki
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- HIDAKA Yukihiro
- Department of Neuroendovascular Therapy, Saitama Sekishinkai Hospital
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- MINAMIMURA Kenzo
- Department of Neurosurgery, Saitama Sekishinkai Hospital
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- TOKUSHIGE Kazuo
- Department of Neurosurgery, Saitama Sekishinkai Hospital
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- TSUZUKI Nobusuke
- Department of Neurosurgery, Saitama Sekishinkai Hospital
Abstract
<p>M1 fenestration of the middle cerebral artery is rare. We present two patterns of acute thromboembolic conditions in M1 fenestrations treated with mechanical thrombectomy. Case 1 was a male in his 60s presenting with right hemiparesis and aphasia. Angiography showed acute left M1 proximal occlusion; the first direct aspiration revealed two parallel routes, and the second aspiration achieved complete recanalization of the left M1 fenestration. Case 2 was a male in his 70s presenting right hemiparesis and aphasia. Angiography revealed a sudden stair-like narrowing of the left M1 in the intermediate part, and a retrograde blood flow cavity was observed on the upper side of the distal part. Mechanical thrombectomy was performed to diagnose the upper limb occlusion of the left M1 fenestration, and successful recanalization was achieved through direct aspiration. Anatomical variations, such as fenestration, should be considered to reduce complication risks.</p>
Journal
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- NMC Case Report Journal
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NMC Case Report Journal 11 (0), 99-102, 2024-12-31
The Japan Neurosurgical Society
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Keywords
Details 詳細情報について
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- CRID
- 1390299705004039296
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- ISSN
- 21884226
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed