- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
(p. 47) Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- Chapter:
- (p. 47) Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- Author(s):
Joseph M. Zabramski
- DOI:
- 10.1093/med/9780190887728.003.0006
Abstract: This chapter reviews the surgical management of ruptured middle cerebral artery aneurysms associated with hematoma. Ruptured middle cerebral artery aneurysms occasionally present with mass effect from a large subarachnoid and/or intraparenchymal hematoma. In the case of significant hematoma size, midline shift, or increased intracranial pressure, these lesions are surgical emergencies. They can present significant management challenges because the presence of the hematoma makes operative management more difficult. Given the large and functionally critical territory supplied by the middle cerebral artery, preservation of the both the afferent and efferent branches is critical. Decision-making regarding the timing and strategy of clot evacuation is discussed.
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- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index