ArticleCureus2024
Early Resolution of Abnormal Vascular Networks After Superficial Temporal Artery to Middle Cerebral Artery (STA-MCA) Bypass Surgery for Twig-Like Middle Cerebral Artery With Intracerebral Hemorrhage: A Case Report.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Insights in the pathogenesis of twig MCA: time to consider it an abnormality?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Twig-like middle cerebral artery: Clinical and radiological features - a study of three patients from a single center.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Moyamoya Vasculopathy and Atypical Moyamoya-like Patterns: Insights into Diagnosis and Therapeutic Implications.NeuroSci · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The twig-like middle cerebral artery (T-MCA) is a rare condition characterized by unilateral middle cerebral artery (MCA) occlusion and abnormal vascular networks, resembling Moyamoya Disease (MMD). While some reports mention bypass surgery for T-MCA, akin to MMD, there is no established treatment method. Previous reports highlight the efficacy of revascularization procedures in preventing recurrent strokes in T-MCA patients, but there is limited data on its usefulness for cases with intracerebral hemorrhagic onset. We present the case of a 37-year-old man in whom bypass surgery for T-MCA with intracerebral hemorrhage was successful, and the periventricular anastomosis, which could have caused the hemorrhage, was resolved early. The patient showed improvement after surgery, and the subsequent MRI, seven days after surgery, confirmed the disappearance of the periventricular anastomosis. Remarkably, no stroke recurrence was observed throughout the 15-month follow-up. This case suggests the usefulness of bypass surgery for T-MCA with hemorrhagic onset, especially when periventricular anastomosis is involved. Further research to determine the optimal timing and treatment approaches for such cases is required.
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