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DOI: 10.1055/s-0042-1750188
Microsurgical Anatomy of Middle Cerebral Artery in Northwest Indian Population: A Cadaveric Brain Dissection Study
Funding None.Abstract
The introduction of cadaveric dissection of cerebral vasculature as a part of the neurosurgical training module would help the neurosurgical residents to understand the complex neuroanatomy of the brain vasculature and help gain confdence during the surgical procedure.To the best of our knowledge microsurgical anatomical studies of theMCA have not been done among the Northwest Indian population. Anatomical variations of MCA that have not been described before may come in as a surprise during any surgical intervention. Hence, we intend to record the anatomical variations of the MCA anatomy and its implications in contemporary vascular surgery and neurosurgical practice. The objective of this work was to study and compare the microsurgical anatomy and variations of MCA in Northwest Indian cadavers with the available literature.
Publication History
Article published online:
16 July 2024
© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Aboud E, Al-Mefty O, Yaşargil MG. New laboratory model for neurosurgical training that simulates live surgery. J Neurosurg 2002; 97 (06) 1367-1372
- 2 Gilbody J, Prasthofer AW, Ho K, Costa ML. The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review. Ann R Coll Surg Engl 2011; 93 (05) 347-352
- 3 Gnanakumar S, Kostusiak M, Budohoski KP. et al. Effectiveness of cadaveric simulation in neurosurgical training: a review of the literature. World Neurosurg 2018; 118: 88-96
- 4 James HK, Chapman AW, Pattison GTR, Griffin DR, Fisher JD. Systematic review of the current status of cadaveric simulation for surgical training. Br J Surg 2019; 106 (13) 1726-1734
- 5 Rhoton Jr AL. The supratentorial arteries. Neurosurgery 2002; 51 (4, suppl) S53-S120
- 6 Vander Eecken HM. Morphological significance of leptomeningeal anastomoses confined to the territory of cerebral arteries [in French]. Acta Neurol Psychiatr Belg 1954; 54 (07) 525-532
- 7 Gibo H, Carver CC, Rhoton Jr AL, Lenkey C, Mitchell RJ. Microsurgical anatomy of the middle cerebral artery. J Neurosurg 1981; 54 (02) 151-169
- 8 Yasargil MG. Intracranial arteries. In: Microneurosurgery. New York: Thieme; 1987: 54-164
- 9 Umansky F, Juarez SM, Dujovny M. et al. Microsurgical anatomy of the proximal segments of the middle cerebral artery. J Neurosurg 1984; 61 (03) 458-467
- 10 Ring BA. Middle cerebral artery: anatomical and radio-graphic study. Acta Radiol 1962; 57: 289-300
- 11 Jain KK. Some observations on the anatomy of the middle cerebral artery. Can J Surg 1964; 7: 134-139
- 12 Pai SB, Varma RG, Kulkarni RN. Microsurgical anatomy of the middle cerebral artery. Neurol India 2005; 53 (02) 186-190
- 13 Gunnal SA, Farooqui MS, Wabale RN. Study of middle cerebral artery in human cadaveric brain. Ann Indian Acad Neurol 2019; 22 (02) 187-194
- 14 Yasargil MG, Fox JL. The microsurgical approach to intracranial aneurysms. Surg Neurol 1975; 3 (01) 7-14
- 15 Locksley HB. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 1966; 25 (02) 219-239
- 16 Rhoton Jr AL. Anatomy of saccular aneurysms. Surg Neurol 1980; 14 (01) 59-66
- 17 Grand W. Microsurgical anatomy of the proximal middle cerebral artery and the internal carotid artery bifurcation. Neurosurgery 1980; 7 (03) 215-218
- 18 Rosner SS, Rhoton Jr AL, Ono M, Barry M. Microsurgical anatomy of the anterior perforating arteries. J Neurosurg 1984; 61 (03) 468-485
- 19 Crompton MR. The pathology of ruptured middle-cerebral aneurysms with special reference to the differences between the sexes. Lancet 1962; 2 (7253): 421-425
- 20 Perret G, Nishioka H. Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg 1966; 25 (04) 467-490
- 21 Asari S, Nakamura S, Yamada O, Beck H, Sugatani H. Traumatic aneurysm of peripheral cerebral arteries. Report of two cases. J Neurosurg 1977; 46 (06) 795-803
- 22 Bohmfalk GL, Story JL, Wissinger JP, Brown Jr WE. Bacterial intracranial aneurysm. J Neurosurg 1978; 48 (03) 369-382
- 23 Fleischer AS, Patton JM, Tindall GT. Cerebral aneurysms of traumatic origin. Surg Neurol 1975; 4 (02) 233-239
- 24 Lawton MT, Rutledge WC, Kim H. et al. Brain arteriovenous malformations. Nat Rev Dis Primers 2015; 1: 15008
- 25 Waddington MM, Ring BA. Syndromes of occlusions of middle cerebral artery branches. Brain 1968; 91 (04) 685-696
- 26 Fisher CM. Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm. Clin Neurosurg 1975; 22: 117-147
- 27 Lascelles RG, Burrows EH. Occlusion of the middle cerebral artery. Brain 1965; 88: 85-96
- 28 Lhermitte F, Gautier JC, Derouesné C. Nature of occlusions of the middle cerebral artery. Neurology 1970; 20 (01) 82-88
- 29 Cheikh A, Yasuhiro Y, Kasinathan S, Kawase T, Takao T, Kato Y. Superficial temporal artery: middle cerebral artery bypass, our series of 20 cases, surgical technique and indications with illustrative cases. Asian J Neurosurg 2019; 14 (03) 670-677
- 30 Chater N, Spetzler R, Tonnemacher K, Wilson CB. Microvascular bypass surgery. Part 1: anatomical studies. J Neurosurg 1976; 44 (06) 712-714
- 31 Teal JS, Rumbaugh CL, Bergeron RT, Segall HD. Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation. Am J Roentgenol Radium Ther Nucl Med 1973; 118 (03) 567-575
- 32 Uchiyama N. Anomalies of the middle cerebral artery. Neurol Med Chir (Tokyo) 2017; 57 (06) 261-266
- 33 Handa J, Matsuda M, Okamoto K, Kidooka M. Association between accessory middle artery and cerebral aneurysm. Report of two cases. Acta Neurochir (Wien) 1982; 64 (1-2): 151-157
- 34 Waga S, Kojima T, Morooka Y, Sakakura M. Aneurysm of the accessory middle cerebral artery. Surg Neurol 1977; 8 (05) 359-360
- 35 Limpastan K, Vaniyapong T, Watcharasaksilp W, Norasetthada T. Silicone injected cadaveric head for neurosurgical dissection: prepared from defrosted cadaver. Asian J Neurosurg 2013; 8 (02) 90-92
- 36 Soubam P, Mishra S, Suri A. et al. Standardization of the technique of silicon injection of human cadaveric heads for opacification of cerebral vasculature in Indian conditions. Neurol India 2018; 66 (02) 439-443