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Stroke Research and Treatment
Volume 2014, Article ID 315906, 5 pages
Review Article

Endovascular and Surgical Options for Ruptured Middle Cerebral Artery Aneurysms: Review of the Literature

Division of Neurosurgery, University of California, San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA

Received 17 December 2013; Accepted 18 June 2014; Published 6 July 2014

Academic Editor: Moneeb Ehtesham

Copyright © 2014 David R. Santiago-Dieppa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Middle cerebral artery (MCA) aneurysms are common entities, and those of the bifurcation are the most frequently encountered sublocation of MCA aneurysm. MCA bifurcation (MBIF) aneurysms commonly present with subarachnoid hemorrhage (SAH), are devastating, and are often lethal. At the present time, the treatment of ruptured MBIF aneurysms entails either endovascular or open microneurosurgical methods to permanently secure the aneurysm(s). The purpose of this report is to review the current available data regarding the relative superiority of endovascular versus open microneurosurgical clipping for the treatment of ruptured middle cerebral artery bifurcation aneurysms.