{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T18:35:57Z","timestamp":1777314957591,"version":"3.51.4"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,26]]},"DOI":"10.7759\/cureus.76435","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T01:21:16Z","timestamp":1735262476000},"source":"Crossref","is-referenced-by-count":1,"title":["Aggressive Behavior of Recurrent Middle Cerebral Artery Aneurysms: A Case Series"],"prefix":"10.7759","author":[{"given":"Alejandro","family":"Serrano-Rubio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9ctor  A","family":"Rodr\u00edguez-Rubio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"L\u00f3pez-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Balc\u00e1zar Padr\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Trujillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana M","family":"Mart\u00ednez-C\u00e1ceres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda Susana","family":"Hern\u00e1ndez-Barrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"S\u00e1nchez-Mata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Figueroa-Zelaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Nathal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000429842.61213.d5","article-title":"A new, more accurate classification of middle cerebral artery aneurysms: computed tomography angiographic study of 1,009 consecutive cases with 1,309 middle cerebral artery aneurysms","volume":"73","author":"Elsharkawy A","year":"2013","unstructured":"Elsharkawy A, Lehe\u010dka M, Niemel\u00e4 M, Billon-Grand R, Lehto H, Kivisaari R, Hernesniemi J. A new, more accurate classification of middle cerebral artery aneurysms: computed tomography angiographic study of 1,009 consecutive cases with 1,309 middle cerebral artery aneurysms. Neurosurgery. 2013, 73:94-102. 10.1227\/01.neu.0000429842.61213.d5","journal-title":"Neurosurgery"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1177\/159101990501100406","article-title":"Recurrent or new symptomatic cerebral aneurysm after previous treatment","volume":"11","author":"Rothemeyer S","year":"2005","unstructured":"Rothemeyer S, Lefeuvre D, Taylor A. Recurrent or new symptomatic cerebral aneurysm after previous treatment. Interv Neuroradiol. 2005, 11:341-8. 10.1177\/159101990501100406","journal-title":"Interv Neuroradiol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.29.12.2511","article-title":"Risk of recurrent subarachnoid hemorrhage after complete obliteration of cerebral aneurysms","volume":"29","author":"Tsutsumi K","year":"1998","unstructured":"Tsutsumi K, Ueki K, Usui M, Kwak S, Kirino T. Risk of recurrent subarachnoid hemorrhage after complete obliteration of cerebral aneurysms. Stroke. 1998, 29:2511-3. 10.1161\/01.str.29.12.2511","journal-title":"Stroke"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1590\/s0004-282x1996000200001","article-title":"Subarachnoid hemorrhage after aneurysm surgery","volume":"54","author":"Carlotti CG Jr","year":"1996","unstructured":"Carlotti CG Jr, Martelli N, Assirati JA Jr, Machado HR, Santos AC, Colli BO. Subarachnoid hemorrhage after aneurysm surgery. Arq Neuropsiquiatr. 1996, 54:181-9. 10.1590\/s0004-282x1996000200001","journal-title":"Arq Neuropsiquiatr"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-020-04639-5","article-title":"Frequency and risk factors for postoperative aneurysm residual after microsurgical clipping","volume":"163","author":"Obermueller K","year":"2021","unstructured":"Obermueller K, Hostettler I, Wagner A, et al.. Frequency and risk factors for postoperative aneurysm residual after microsurgical clipping. Acta Neurochir (Wien). 2021, 163:131-8. 10.1007\/s00701-020-04639-5","journal-title":"Acta Neurochir (Wien)"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opx033","article-title":"Treatment of recurrent intracranial aneurysms after neck clipping: novel classification scheme and management strategies","volume":"13","author":"Kobayashi S","year":"2017","unstructured":"Kobayashi S, Moroi J, Hikichi K, Yoshioka S, Saito H, Tanabe J, Ishikawa T. Treatment of recurrent intracranial aneurysms after neck clipping: novel classification scheme and management strategies. Oper Neurosurg (Hagerstown). 2017, 13:670-8. 10.1093\/ons\/opx033","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318276b46b","article-title":"Patterns of aneurysm recurrence after microsurgical clip obliteration","volume":"72","author":"Spiotta AM","year":"2013","unstructured":"Spiotta AM, Hui F, Schuette A, Moskowitz SI. Patterns of aneurysm recurrence after microsurgical clip obliteration. Neurosurgery. 2013, 72:65-9. 10.1227\/NEU.0b013e318276b46b","journal-title":"Neurosurgery"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.70.4.0556","article-title":"Regrowth of aneurysm sacs from residual neck following aneurysm clipping","volume":"70","author":"Lin T","year":"1989","unstructured":"Lin T, Fox AJ, Drake CG. Regrowth of aneurysm sacs from residual neck following aneurysm clipping. J Neurosurg. 1989, 70:556-60. 10.3171\/jns.1989.70.4.0556","journal-title":"J Neurosurg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.32.5.1191","article-title":"Risk of aneurysm recurrence in patients with clipped cerebral aneurysms: results of long-term follow-up angiography","volume":"32","author":"Tsutsumi K","year":"2001","unstructured":"Tsutsumi K, Ueki K, Morita A, Usui M, Kirino T. Risk of aneurysm recurrence in patients with clipped cerebral aneurysms: results of long-term follow-up angiography. Stroke. 2001, 32:1191-4. 10.1161\/01.str.32.5.1191","journal-title":"Stroke"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1984.61.5.0848","article-title":"Failed aneurysm surgery: reoperation in 115 cases","volume":"61","author":"Drake CG","year":"1984","unstructured":"Drake CG, Friedman AH, Peerless SJ. Failed aneurysm surgery: reoperation in 115 cases. J Neurosurg. 1984, 61:848-56. 10.3171\/jns.1984.61.5.0848","journal-title":"J Neurosurg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1098","article-title":"Retreatment of previously embolized cerebral aneurysms: the risk of further coil embolization does not negate the advantage of the initial embolization","volume":"29","author":"Renowden SA","year":"2008","unstructured":"Renowden SA, Koumellis P, Benes V, Mukonoweshuro W, Molyneux AJ, McConachie NS. Retreatment of previously embolized cerebral aneurysms: the risk of further coil embolization does not negate the advantage of the initial embolization. AJNR Am J Neuroradiol. 2008, 29:1401-4. 10.3174\/ajnr.A1098","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-198212000-00005","article-title":"Recurrence of cerebral aneurysm after initial neck clipping","volume":"11","author":"Ebina K","year":"1982","unstructured":"Ebina K, Suzuki M, Andoh A, Saitoh K, Iwabuchi T. Recurrence of cerebral aneurysm after initial neck clipping. Neurosurgery. 1982, 11:764-8. 10.1227\/00006123-198212000-00005","journal-title":"Neurosurgery"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.25259\/SNI_374_2023","article-title":"Limitation of fenestrated clips during clipping of middle cerebral artery aneurysm: technical note","volume":"14","author":"Degollado-Garc\u00eda J","year":"2023","unstructured":"Degollado-Garc\u00eda J, Rodr\u00edguez-Rubio HA, Bonilla-Suastegui A, Serrano-Rubio A, Nicolas-Cruz CF, Nathal E. Limitation of fenestrated clips during clipping of middle cerebral artery aneurysm: technical note. Surg Neurol Int. 2023, 14:204. 10.25259\/SNI_374_2023","journal-title":"Surg Neurol Int"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1987.66.1.0030","article-title":"Natural history of postoperative aneurysm rests","volume":"66","author":"Feuerberg I","year":"1987","unstructured":"Feuerberg I, Lindquist C, Lindqvist M, Steiner L. Natural history of postoperative aneurysm rests. J Neurosurg. 1987, 66:30-4. 10.3171\/jns.1987.66.1.0030","journal-title":"J Neurosurg"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.91.3.0396","article-title":"Late angiographic follow-up review of surgically treated aneurysms","volume":"91","author":"David CA","year":"1999","unstructured":"David CA, Vishteh AG, Spetzler RF, Lemole M, Lawton MT, Partovi S. Late angiographic follow-up review of surgically treated aneurysms. J Neurosurg. 1999, 91:396-401. 10.3171\/jns.1999.91.3.0396","journal-title":"J Neurosurg"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2010.06.036","article-title":"Recurrent intracranial aneurysms after successful neck clipping","volume":"74","author":"el-Beltagy M","year":"2010","unstructured":"el-Beltagy M, Muroi C, Roth P, Fandino J, Imhof HG, Yonekawa Y. Recurrent intracranial aneurysms after successful neck clipping. World Neurosurg. 2010, 74:472-7. 10.1016\/j.wneu.2010.06.036","journal-title":"World Neurosurg"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-003-0285-6","article-title":"Recurrent hemorrhage after initially complete occlusion of intracranial aneurysms","volume":"26","author":"Asgari S","year":"2003","unstructured":"Asgari S, Wanke I, Schoch B, Stolke D. Recurrent hemorrhage after initially complete occlusion of intracranial aneurysms. Neurosurg Rev. 2003, 26:269-74. 10.1007\/s10143-003-0285-6","journal-title":"Neurosurg Rev"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2009.46.5.492","article-title":"Recurrent subarachnoid hemorrhage after complete obliteration of intracranial aneurysm","volume":"46","author":"Yang TK","year":"2009","unstructured":"Yang TK, Kim CJ. Recurrent subarachnoid hemorrhage after complete obliteration of intracranial aneurysm. J Korean Neurosurg Soc. 2009, 46:492-4. 10.3340\/jkns.2009.46.5.492","journal-title":"J Korean Neurosurg Soc"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.5137\/1019-5149.JTN.18127-16.1","article-title":"Anatomy of the middle cerebral artery: cortical branches, branching pattern and anomalies","volume":"27","author":"Cilliers K","year":"2017","unstructured":"Cilliers K, Page BJ. Anatomy of the middle cerebral artery: cortical branches, branching pattern and anomalies. Turk Neurosurg. 2017, 27:671-81. 10.5137\/1019-5149.JTN.18127-16.1","journal-title":"Turk Neurosurg"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3171\/2017.10.JNS172183","article-title":"Long-term results of middle cerebral artery aneurysm clipping in the Barrow ruptured aneurysm trial","volume":"130","author":"Mooney MA","year":"2019","unstructured":"Mooney MA, Simon ED, Brigeman S, Nakaji P, Zabramski JM, Lawton MT, Spetzler RF. Long-term results of middle cerebral artery aneurysm clipping in the Barrow ruptured aneurysm trial. J Neurosurg. 2019, 130:895-901. 10.3171\/2017.10.JNS172183","journal-title":"J Neurosurg"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2017.0506.009","article-title":"Management of recurrent cerebral aneurysm after surgical clipping: clinical article","volume":"61","author":"Kim P","year":"2018","unstructured":"Kim P, Jang SJ. Management of recurrent cerebral aneurysm after surgical clipping: clinical article. J Korean Neurosurg Soc. 2018, 61:212-8. 10.3340\/jkns.2017.0506.009","journal-title":"J Korean Neurosurg Soc"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyab364","article-title":"Formation, growth, or rupture of de novo intracranial aneurysms: long-term follow-up study of subarachnoid hemorrhage survivors","volume":"89","author":"Han HJ","year":"2021","unstructured":"Han HJ, Lee W, Kim J, Park KY, Park SK, Chung J, Kim YB. Formation, growth, or rupture of de novo intracranial aneurysms: long-term follow-up study of subarachnoid hemorrhage survivors. Neurosurgery. 2021, 89:1104-11. 10.1093\/neuros\/nyab364","journal-title":"Neurosurgery"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.49.273","article-title":"Concept of ideal closure line for clipping middle cerebral artery aneurysms-technical note","volume":"49","author":"Ishikawa T","year":"2009","unstructured":"Ishikawa T, Nakayama N, Moroi J, et al.. Concept of ideal closure line for clipping middle cerebral artery aneurysms-technical note. Neurol Med Chir (Tokyo). 2009, 49:273-8. 10.2176\/nmc.49.273","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"ref24","article-title":"Evaluation of the stability of aneurysms after embolization using detachable coils: correlation between stability of aneurysms and embolized volume of aneurysms","volume":"23","author":"Tamatani S","year":"2002","unstructured":"Tamatani S, Ito Y, Abe H, Koike T, Takeuchi S, Tanaka R. Evaluation of the stability of aneurysms after embolization using detachable coils: correlation between stability of aneurysms and embolized volume of aneurysms. AJNR Am J Neuroradiol. 2002, 23:762-7.","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2007.48.1.30","article-title":"A clinical analysis of twelve cases of ruptured cerebral de novo aneurysms","volume":"48","author":"Kim DH","year":"2007","unstructured":"Kim DH, Jung JY, Lee JW, Huh SK, Lee KC. A clinical analysis of twelve cases of ruptured cerebral de novo aneurysms. Yonsei Med J. 2007, 48:30-4. 10.3349\/ymj.2007.48.1.30","journal-title":"Yonsei Med J"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.3892\/mi.2021.1","article-title":"Intracranial post-clipping residual or recurrent aneurysms: current status and treatment options (Review)","volume":"1","author":"Piao J","year":"2021","unstructured":"Piao J, Luan T, Qu L, Yu J. Intracranial post-clipping residual or recurrent aneurysms: current status and treatment options (Review). Med Int (Lond). 2021, 1:1. 10.3892\/mi.2021.1","journal-title":"Med Int (Lond)"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1038\/jcbfm.2012.84","article-title":"Biology of intracranial aneurysms: role of inflammation","volume":"32","author":"Chalouhi N","year":"2012","unstructured":"Chalouhi N, Ali MS, Jabbour PM, et al.. Biology of intracranial aneurysms: role of inflammation. J Cereb Blood Flow Metab. 2012, 32:1659-76. 10.1038\/jcbfm.2012.84","journal-title":"J Cereb Blood Flow Metab"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199310000-00026","article-title":"A pathological study of intracranial posterior circulation dissecting aneurysms with subarachnoid hemorrhage: report of three autopsied cases and review of the literature","volume":"33","author":"Endo S","year":"1993","unstructured":"Endo S, Nishijima M, Nomura H, Takaku A, Okada E. A pathological study of intracranial posterior circulation dissecting aneurysms with subarachnoid hemorrhage: report of three autopsied cases and review of the literature. Neurosurgery. 1993, 33:732-8. 10.1227\/00006123-199310000-00026","journal-title":"Neurosurgery"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199312000-00004","article-title":"De novo aneurysms: special multiple intracranial aneurysms","volume":"33","author":"Rinne JK","year":"1993","unstructured":"Rinne JK, Hernesniemi JA. De novo aneurysms: special multiple intracranial aneurysms. Neurosurgery. 1993, 33:981-5. 10.1227\/00006123-199312000-00004","journal-title":"Neurosurgery"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.3171\/JNS-07\/10\/0881","article-title":"Microsurgical removal of previously placed aneurysm clips and application of new clips for recurrent cerebral aneurysms: technical note","volume":"107","author":"Kashimura H","year":"2007","unstructured":"Kashimura H, Ogasawara K, Kubo Y, Otawara Y, Ogawa A. Microsurgical removal of previously placed aneurysm clips and application of new clips for recurrent cerebral aneurysms: technical note. J Neurosurg. 2007, 107:881-3. 10.3171\/JNS-07\/10\/0881","journal-title":"J Neurosurg"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.3171\/2016.2.JNS152059","article-title":"A long-term study of durability and risk factors for aneurysm recurrence after microsurgical clip ligation","volume":"126","author":"Brown MA","year":"2017","unstructured":"Brown MA, Parish J, Guandique CF, et al.. A long-term study of durability and risk factors for aneurysm recurrence after microsurgical clip ligation. J Neurosurg. 2017, 126:819-24. 10.3171\/2016.2.JNS152059","journal-title":"J Neurosurg"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.3171\/2015.10.JNS151536","article-title":"Aneurysm remnant after clipping: the risks and consequences","volume":"125","author":"Jabbarli R","year":"2016","unstructured":"Jabbarli R, Pierscianek D, Wrede K, et al.. Aneurysm remnant after clipping: the risks and consequences. J Neurosurg. 2016, 125:1249-55. 10.3171\/2015.10.JNS151536","journal-title":"J Neurosurg"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/316834-aggressive-behavior-of-recurrent-middle-cerebral-artery-aneurysms-a-case-series","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T01:21:18Z","timestamp":1735262478000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/316834-aggressive-behavior-of-recurrent-middle-cerebral-artery-aneurysms-a-case-series"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,26]]},"references-count":32,"URL":"https:\/\/doi.org\/10.7759\/cureus.76435","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2024,12,26]]}}}