{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T04:48:37Z","timestamp":1767847717891,"version":"3.49.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2010,11,11]]},"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Spontaneous fusiform aneurysms of the middle cerebral artery (sfaMCA) are quite uncommon and tend to occur in young adults. The use of superselective angiography for ruptured and unruptured aneurysms can help delineate vital angioarchitecture and assist with perioperative planning and treatment modality. The use of superselective Wada testing (SWT) for treatment of a ruptured sfaMCA involving the dominant hemisphere, however, has never been described in the English literature. We report a case of a ruptured sfaMCA involving the dominant hemisphere where superselective angiography and SWT were utilized to predict the ability to occlude a major vessel without adverse neurological sequelae.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case description<\/jats:title>\n                  <jats:p>A healthy young patient presented with subarachnoid hemorrhage. Initial CT-angiogram of the head identified a left-sided fusiform MCA aneurysm measuring 1.3\u2005cm by 0.5\u2005cm in maximum dimensions. Diagnostic angiography evaluation demonstrated an irregular, fusiform aneurysm involving the central (Rolandic) trunk of the left MCA. An SWT was then performed through an SL 10 microcatheter with injection of sodium amytal. Verbal, motor and cognitive testing were performed twice and revealed no neurological defects. The patient underwent subsequent coil embolization of the aneurysm. Formal post-procedure evaluation revealed no speech, language or cognitive deficits. She was eventually discharged home and remained without neurological deficits at her follow-up appointment 12\u2005months after her initial presentation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Intraoperative SWT can be performed as part of the initial evaluation for patients with sfaMCA of the dominant cerebral hemisphere to help choose the appropriate treatment algorithm and predict post-treatment neurological deficits.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jnis.2010.002220","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T21:56:20Z","timestamp":1296683780000},"page":"237-241","source":"Crossref","is-referenced-by-count":11,"title":["Superselective Wada test for ruptured spontaneous fusiform middle cerebral artery aneurysm: a technical case report"],"prefix":"10.1136","volume":"3","author":[{"given":"Sharad","family":"Rajpal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roham","family":"Moftakhar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M","family":"Bauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aquilla S","family":"Turk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B","family":"Niemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,2,2]]},"reference":[{"key":"2025092910541847000_3.3.237.1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.3171\/jns.2003.99.2.0228","article-title":"Spontaneous fusiform middle cerebral artery aneurysms: characteristics and a proposed mechanism of formation","volume":"99","author":"Day","year":"2003","journal-title":"J Neurosurg"},{"key":"2025092910541847000_3.3.237.2","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1212\/WNL.23.8.812","article-title":"Intracarotid amobarbital test of language and memory before temporal lobectomy for seizure control","volume":"23","author":"Blume","year":"1973","journal-title":"Neurology"},{"key":"2025092910541847000_3.3.237.3","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1960.17.2.0266"},{"key":"2025092910541847000_3.3.237.4","doi-asserted-by":"crossref","first-page":"391","DOI":"10.3171\/jns.2003.99.2.0391","article-title":"Giant fusiform aneurysms in the middle cerebral artery presenting with hemorrhages of different origins. Report of three cases and review of the literature","volume":"99","author":"Horie","year":"2003","journal-title":"J Neurosurg"},{"key":"2025092910541847000_3.3.237.5","doi-asserted-by":"crossref","first-page":"478","DOI":"10.3171\/jns.1992.77.3.0478","article-title":"Treatment of fusiform intracranial aneurysm by circumferential wrapping with clip reinforcement. Technical note","volume":"77","author":"Bederson","year":"1992","journal-title":"J Neurosurg"},{"key":"2025092910541847000_3.3.237.6","doi-asserted-by":"crossref","first-page":"215","DOI":"10.3171\/jns.2003.99.2.0215","article-title":"Fusiform middle cerebral artery aneurysms","volume":"99","author":"Heros","year":"2003","journal-title":"J Neurosurg"},{"key":"2025092910541847000_3.3.237.7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/00007611-193002000-00004","article-title":"The treatment of traumatic arteriovenous fistula","volume":"23","author":"Brooks","year":"1930","journal-title":"South Med J"},{"key":"2025092910541847000_3.3.237.8","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/BF00332963","article-title":"Superselective internal carotid arteriography and embolization","volume":"9","author":"Djindjian","year":"1975","journal-title":"Neuroradiology"},{"key":"2025092910541847000_3.3.237.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1960.63020110001009"},{"key":"2025092910541847000_3.3.237.10","doi-asserted-by":"crossref","first-page":"237","DOI":"10.3171\/jns.1971.35.2.0237","article-title":"Intraluminal occlusion of a carotid-cavernous sinus fistula with a balloon catheter. Technical Note","volume":"35","author":"Prolo","year":"1971","journal-title":"J Neurosurg"},{"key":"2025092910541847000_3.3.237.11","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1974.41.2.0125"},{"key":"2025092910541847000_3.3.237.12","first-page":"1601","article-title":"Aneurysms related to cerebral arteriovenous malformations: superselective angiographic assessment in 58 patients","volume":"15","author":"Turjman","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025092910541847000_3.3.237.13","doi-asserted-by":"crossref","first-page":"880","DOI":"10.3171\/jns.2001.94.6.0880","article-title":"Endovascular treatment of intracranial aneurysms by using Guglielmi detachable coils in awake patients: safety and feasibility","volume":"94","author":"Qureshi","year":"2001","journal-title":"J Neurosurg"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jnis.2010.002220","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T17:54:26Z","timestamp":1759168466000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/jnis.2010.002220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,2,2]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2011,8,9]]},"published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1136\/jnis.2010.002220"],"URL":"https:\/\/doi.org\/10.1136\/jnis.2010.002220","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2,2]]}}}