Abstract
Intracranial arterial dissection or dissecting aneurysm
is relatively uncommon and usually involve the vertebrobasilar
system. Here we report a pediatric case of middle
cerebral artery dissection/dissecting aneurysm with sub
arachnoid hemorrhage and Sylvian fissure hematoma
on dominant side. After initial evacuation of hematoma,
we went for trapping and excision of dissection/dissecting
aneurysm followed by STA-MCA bypass. Patient
recovered fully from her neurological deficit. Probably
this is the first reported case of STA-MCA bypass in
Bangladesh.
Key Words: STA-MCA bypass, Middle cerebral artery
dissecting aneurysm, Intracranial fusiform aneurysm.
(J Banagladesh Coll Phys Surg 2014; 32: 94-98)