Twig-like middle cerebral artery

Case contributed by Vitalii Rogalskyi , 12 May 2022
Diagnosis certain
Changed by Vitalii Rogalskyi, 28 Dec 2023
Disclosures - updated 30 Oct 2023: Nothing to disclose

Updates to Study Attributes

Findings was changed:

NECT of the brain shows a zone of post-ischemic -ischaemic encephalomalacia in the left striatocapsular region with widening of the left lateral ventricle. No signs of intracranial bleeding or new ischemicischaemic changes.

A small hyperdense subcortical lesion in the right frontal lobe with no perifocal edemaoedema, probably consistent with a vascular lesion.

Polypoid changes of the paranasal sinuses.

Images Changes:

Image 28 CT (non-contrast) ( create )

Annotation 8761 changed from ,0 arrows,0 labels to NOT linked from the study findings - encephalomalacia,1 arrow,1 label.

Updates to Case Attributes

Body was changed:

This case demonstrates the absence of the main trunk of the right MCA. It is not a result of arterial occlusive disease because of the absence of any ischaemic or post-ischaemic changes in right MCA territory which must inevitably occur in case of occlusion of so big cerebral artery. So, it is a developmental anomaly known as twig-like MCA.

Incidental variant anatomy of right PCA - fetal origin and and DVA of the right frontal lobe.

  • -<p>This case demonstrates the absence of the main trunk of the right MCA. It is not a result of arterial occlusive disease because of the absence of any ischaemic or post-ischaemic changes in right MCA territory which must inevitably occur in case of occlusion of so big cerebral artery. So, it is a developmental anomaly known as <a href="/articles/twig-like-middle-cerebral-artery">twig-like MCA</a>.</p><p>Incidental variant anatomy of right PCA - <a href="/articles/fetal-posterior-cerebral-artery">fetal origin</a> and <a href="/articles/developmental-venous-anomaly">DVA</a> of the right frontal lobe.</p>
  • +<p>This case demonstrates the absence of the main trunk of the right MCA. It is not a result of arterial occlusive disease because of the absence of any ischaemic or post-ischaemic changes in right MCA territory which must inevitably occur in case of occlusion of so big cerebral artery. So, it is a developmental anomaly known as <a href="/articles/twig-like-middle-cerebral-artery">twig-like MCA</a>.</p><p>Incidental variant anatomy of right PCA - <a href="/articles/fetal-posterior-cerebral-artery">fetal origin</a>&nbsp;and <a href="/articles/developmental-venous-anomaly">DVA</a> of the right frontal lobe.</p>

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