Evidence map›Paper›PMID 31218292›Full record

ArticleWorld neurosurgery: X2019

Aplastic or Twig-Like Middle Cerebral Artery Presenting with Intracerebral Hemorrhage During Pregnancy: Report of Two Cases.

Yudai Goto, Hideki Oka, Shiho Hiraizumi, Takanari Okamoto, Sho Nishii, Hiroyuki Yamamoto, Takumi Yamanaka, Masataka Nanto, Naoto Shiomi, Akihiko Hino and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in World neurosurgery: X, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Surgical neurology international · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Current state and confusion of twig-like middle cerebral artery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Review
  9. Article
  10. Surgical neurology international · 2023
    Article
  11. Article
  12. Twig-like middle cerebral artery: Embryological persistence or secondary consequences?Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
  13. Hemorrhagic events associated with unfused or twig-like configuration of the Middle cerebral artery: A rare vascular anomaly with clinical relevance.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Yudai GotoDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Hideki OkaDepartment of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, Japan.
Shiho HiraizumiDepartment of Emergency and Critical Care Center, Saiseikai Shigaken Hospital, Shiga, Japan.
Takanari OkamotoDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Sho NishiiDepartment of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, Japan.
Hiroyuki YamamotoDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Takumi YamanakaDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Masataka NantoDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Naoto ShiomiDepartment of Emergency and Critical Care Center, Saiseikai Shigaken Hospital, Shiga, Japan.
Akihiko HinoDepartment of Neurosurgery, Saiseikai Shigaken Hospital, Shiga, Japan.
Naoya HashimotoDepartment of Neurosurgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kyoto Prefectural University of Medicine · JPSaiseikai Shigaken Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn aplastic or twig-like middle cerebral artery (Ap/T-MCA) is a rare congenital anomaly that can present with both ischemic and hemorrhagic stroke. The etiology of this pathology has remained unclear. Here, we report 2 cases of intracerebral hemorrhage (ICH) owing to an Ap/T-MCA in pregnant patients. CASE DESCRIPTION: In both patients, cerebral angiography revealed a steno-occlusive lesion and an abnormal arterial network on the unilateral middle cerebral artery. One patient was treated conservatively for a putaminal hemorrhage, and a cesarean section was performed uneventfully 6 months after onset of the ICH. The other patient underwent a craniotomy for evacuation of the lobar hemorrhage. Subsequently, a cesarean section was performed uneventfully. Both patients gradually recovered without significant disabilities.

conclusionsAn Ap/T-MCA is a rare congenital anomaly and is a potential cause of ICH for pregnant patients. A cesarean section is a useful option for pregnant patients with this condition.

Indexed as

Ap/T-MCA, Aplastic or twig-like middle cerebral arteryCesarean sectionCTA, Computed tomographic angiographyCT, Computed tomographyGCS, Glasgow Coma ScaleICH, Intracerebral hemorrhageIntracerebral hemorrhageLSA, Lenticulostriate arteriesMCA, Middle cerebral arteryMiddle cerebral arteryMMD, Moyamoya diseaseMoyamoya diseaseMRA, Magnetic resonance angiographyPregnancyTwig-like MCA

Identifiers

PMID31218292
PMCPMC6580884
OpenAlexW2914147193

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.