Superficial Temporal Artery-Middle Cerebral Artery Bypass (STA-MCA) for Middle Cerebral Artery Dissecting Aneurysm in a Child

Intracranial arterial dissection or dissecting aneurysm is relatively uncommon and usually involve the vertebrobasilar system. here we report a pediatric case of middle cerebral artery dissection/dissecting aneurysm with sub arachnoid hemorrhage and sylvian fissure hematoma on dominant side. after initial evacuation of hematoma, we went for trapping and excision of dissection/dissecting aneurysm followed by sta-mca bypass. patient recovered fully from her neurological deficit. probably this is the first reported case of sta-mca bypass in bangladesh.