{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:01:53Z","timestamp":1777730513802,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,10,27]],"date-time":"2015-10-27T00:00:00Z","timestamp":1445904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>Pediatric intracranial aneurysms are rare with a reported prevalence of 0.5\u20134.6%. Likewise, anomalous arterial patterns are uncommon in the cerebral circulation. Recognition of these variations and knowledge of vascular territory forms the key to managing pathological conditions associated with these anomalous vessels. Ruptured dissecting aneurysm of type-3 accessory middle cerebral artery (aMCA) has not been reported in the pediatric age group. In addition to type-3 aMCA, the child in this case report had an ipsilateral type-1 aMCA with cortical supply. We describe the patterns of accessory MCA and their vascular territory, state the perplexity involved in deciding the best management strategy, and describe the technical approach we undertook to catheterize this small caliber recurrent artery (type-3 aMCA) originating at an acute angle from the anterior cerebral artery.<\/jats:p>","DOI":"10.1177\/1591019915609780","type":"journal-article","created":{"date-parts":[[2015,10,27]],"date-time":"2015-10-27T22:43:50Z","timestamp":1445985830000},"page":"664-668","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Endovascular glue embolization of dissecting aneurysm of type-3 accessory middle cerebral artery: A contralateral approach"],"prefix":"10.1177","volume":"21","author":[{"given":"Rajsrinivas","family":"Parthasarathy","sequence":"first","affiliation":[{"name":"Department of Neurointerventional Surgery, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Neurointerventional Surgery, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vipul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurointerventional Surgery, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karanjit Singh","family":"Narang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia and Critical Care, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajaya Nand","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medanta Institute of Neuroscience, Gurgaon, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,10,27]]},"reference":[{"key":"bibr1-1591019915609780","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-008-0725-2"},{"key":"bibr2-1591019915609780","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.03.038"},{"key":"bibr3-1591019915609780","doi-asserted-by":"publisher","DOI":"10.15274\/INR-2014-10071"},{"key":"bibr4-1591019915609780","doi-asserted-by":"publisher","DOI":"10.1007\/BF01138201"},{"key":"bibr5-1591019915609780","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2009.02.023"},{"key":"bibr6-1591019915609780","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-010852"},{"key":"bibr7-1591019915609780","unstructured":"Lasjaunias P, Berenstein A and ter Brugge KG.\n                      Surgical Neuroangiography - Clinical vascular anatomy and variations\n                      . 2nd ed. Berlin, Germany: Springer-Verlag, Chapter 6, Intradural arteries; pp. 590\u2013596."},{"key":"bibr8-1591019915609780","unstructured":"Komiyama M, Nakajima H, Nishikawa M and Yasui T. Middle cerebral artery variations: duplicated and accessory arteries.\n                      AJNR Am J Neuroradiol\n                      . 1998; 19: 45\u201349."},{"key":"bibr9-1591019915609780","doi-asserted-by":"crossref","unstructured":"Abanou A, Lasjaunias P, Manelfe C and Lopez-Ibor L. The accessory middle cerebral artery (AMCA). Diagnostic and therapeutic consequences.\n                      AnatClin\n                      . 1984; 6: 305\u2013309.","DOI":"10.1007\/BF01654463"},{"key":"bibr10-1591019915609780","doi-asserted-by":"crossref","unstructured":"Teal JS, Rumbaugh CL, Bergeron RT and Segall HD. Anomalies of the middle cerebral artery: accessory artery, duplication, and early bifurcation.\n                      AJR Am J Roentgenol\n                      1973; 118: 567\u2013575.","DOI":"10.2214\/ajr.118.3.567"},{"key":"bibr11-1591019915609780","doi-asserted-by":"crossref","unstructured":"Handa J, Shimizu Y, Matsuda M and Handa H. The accessory middle cerebral artery: Report of further two cases.\n                      Clin Radiol\n                      . 1970; 21: 415\u2013416.","DOI":"10.1016\/S0009-9260(70)80084-8"},{"key":"bibr12-1591019915609780","doi-asserted-by":"crossref","unstructured":"Maga P, Tomaszewski KA, Krzy\u017cewski RM, Golec J, Depukat P, Gregorczyk-Maga I, et al. Branches and arterial supply of the recurrent artery of Heubner.\n                      Anat Sci Int\n                      . 2013; 88: 223\u2013239.","DOI":"10.1007\/s12565-013-0192-z"},{"key":"bibr13-1591019915609780","doi-asserted-by":"crossref","unstructured":"Lv X, Jiang C, Li Y, et al. Endovascular treatment for pediatric intracranial aneurysms.\n                      Neuroradiology\n                      2009; 51: 749\u2013754.","DOI":"10.1007\/s00234-009-0553-4"},{"key":"bibr14-1591019915609780","doi-asserted-by":"crossref","unstructured":"Hetts SW, Narvid J, Sanai N, et al. Intracranial aneurysms in childhood: 27-year singleinstitution experience.\n                      AJNR Am J Neuroradiol\n                      2009; 30: 1315\u20131324.","DOI":"10.3174\/ajnr.A1587"},{"key":"bibr15-1591019915609780","unstructured":"Andreou A, Ioannidis I and Mitsos A. Endovascular treatment of peripheral intracranial aneurysms.\n                      AJNR Am J Neuroradiol\n                      2007; 28: 355\u2013361."}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019915609780","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1591019915609780","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019915609780","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:58:47Z","timestamp":1777460327000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1591019915609780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,27]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1177\/1591019915609780"],"URL":"https:\/\/doi.org\/10.1177\/1591019915609780","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,27]]}}}