{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T16:08:06Z","timestamp":1750867686869},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The existence of an accessory middle cerebral artery (AMCA) usually has no pathological significance. Three patients developed cerebral infarction due to thromboembolic occlusion of the main trunk of the middle cerebral artery (MCA). In these patients, AMCA originating from the anterior cerebral artery was intact, and ran to the lateral side along the main MCA. Emergency endovascular treatment to remove the thrombus in the main MCA was performed, and MCA was recanalized. In one patient, the main MCA re-occluded and cerebral infarction developed on the next day. The diameter of AMCA is commonly smaller than that of the main MCA. Therefore, volume of ischemic region depends on the collateral blood flow to the left MCA territory by AMCA. Once an anomalous MCA is detected in a patient with cerebral infarction involving the MCA territory, close examinations to assess the anatomy of both the main and anomalous MCA are mandatory.<\/jats:p>","DOI":"10.1055\/s-0042-1757215","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T22:32:25Z","timestamp":1665268345000},"page":"495-499","source":"Crossref","is-referenced-by-count":2,"title":["Cerebral Infarction Due to Occlusion of Main Trunk of Middle Cerebral Artery in Patient with Accessory Middle Cerebral Artery"],"prefix":"10.1055","volume":"17","author":[{"given":"Atsushi","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kanto Rosai Hospital, Kawasaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Tsukiyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shutaro","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshimasa","family":"Uekusa","sequence":"additional","affiliation":[{"name":"Department of Pathology, Kanto Rosai Hospital, Kawasaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issei","family":"Fukui","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Kawahara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Tamase","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuya","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryotaro","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mutsuki","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsu","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Neurology, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiro","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan"},{"name":"Department of Neurosurgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,10,8]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s007010050029","article-title":"Duplication of the middle cerebral artery associated with an unruptured aneurysm","volume":"142","author":"M Nomura","year":"2000","journal-title":"Acta Neurochir (Wien)"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"S421","DOI":"10.4103\/2152-7806.166179","article-title":"Accessory middle cerebral artery associated with an unruptured aneurysm at its origin","volume":"6","author":"M Nomura","year":"2015","journal-title":"Surg Neurol Int"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S549","DOI":"10.4103\/2152-7806.168069","article-title":"Aneurysm at origin of duplicated middle cerebral artery associated with another aneurysm","volume":"6","author":"Y Iida","year":"2015","journal-title":"Surg Neurol Int"},{"issue":"03","key":"ref4","first-page":"587","article-title":"The accessory middle cerebral artery as a collateral blood supply","volume":"18","author":"M Komiyama","year":"1997","journal-title":"Am J Neuroradiol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"908","DOI":"10.4103\/0028-3886.91378","article-title":"Acute embolic occlusion of the accessory middle cerebral artery mimicking an internal carotid artery terminus aneurysm","volume":"59","author":"B K Menon","year":"2011","journal-title":"Neurol India"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"163","DOI":"10.2169\/internalmedicine.52.8999","article-title":"Intravenous t-PA for the occlusion of an accessory MCA","volume":"52","author":"H Kuwahara","year":"2013","journal-title":"Intern Med"},{"issue":"12","key":"ref7","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.2169\/internalmedicine.53.1760","article-title":"Cerebral infarction associated with accessory middle cerebral arteries: two case reports","volume":"53","author":"Y Hiramatsu","year":"2014","journal-title":"Intern Med"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1177\/1591019915583230","article-title":"Sufficient collateral blood supply from accessory middle cerebral artery in a patient with acute ischemic stroke","volume":"21","author":"Z S Liu","year":"2015","journal-title":"Interv Neuroradiol"},{"issue":"09","key":"ref9","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1212\/WNL.0000000000001894","article-title":"Severe MCA stroke without MCA occlusion? Thrombectomy uncovers accessory middle cerebral artery","volume":"85","author":"A Bayer-Karpinska","year":"2015","journal-title":"Neurology"},{"issue":"11","key":"ref10","first-page":"1165","article-title":"A case of embolic infarction associated with accessory middle cerebral artery and treated using mechanical thrombectomy","volume":"47","author":"Y Matsunaga","year":"2019","journal-title":"No Shinkei Geka"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"e459","DOI":"10.1002\/ams2.459","article-title":"A case of acute cerebral infarction associated with an accessory middle cerebral artery in a patient who underwent thrombectomy","volume":"7","author":"I Deguchi","year":"2019","journal-title":"Acute Med Surg"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1212\/CPJ.0000000000000605","article-title":"Acute middle cerebral artery stroke in a patient with a patent middle cerebral artery","volume":"9","author":"J Cooke","year":"2019","journal-title":"Neurol Clin Pract"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"e233287","DOI":"10.1136\/bcr-2019-233287","article-title":"Tandem occlusion involving accessory middle cerebral artery in acute ischaemic stroke: management strategies","volume":"13","author":"N Ray","year":"2020","journal-title":"BMJ Case Rep"},{"issue":"01","key":"ref14","first-page":"45","article-title":"Middle cerebral artery variations: duplicatred and accessory arteries","volume":"19","author":"M Komiyama","year":"1998","journal-title":"Am J Neuroradiol"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1757215.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T17:00:32Z","timestamp":1701190832000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1757215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":14,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,11,15]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1757215","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}