Person: Fusco, Matthew R.
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Fusco
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Matthew R.
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Fusco, Matthew R.
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Publication Middle Meningeal Artery Arising from the Basilar Artery(Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons, 2014) Salem, Mohamed; Fusco, Matthew R.; Dolati, Parviz; Reddy, Arra S.; Gross, Bradley A.; Ogilvy, Christopher; Thomas, AjithVarious anomalies for the origin of the middle meningeal artery (MMA) have been described in the literature. However, origin of the MMA from the basilar trunk is an extremely rare variant. We report on a 54-year-old female who presented with frequent headaches; magnetic resonance imaging showed a right parietal meningioma. The abnormal origin of the middle meningeal artery from the basilar artery was diagnosed by angiography performed for preoperative embolization of the tumor. We report on the case with a review of the embryologic basis, possible explanations for this aberrant origin, and its clinical implications.Publication An Unruptured Anterior Communicating Artery Aneurysm with Bilateral Infraoptic Anterior Cerebral Arteries. Case Report and Review of the Literature(Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons, 2014) Chua, Michelle H.; Thomas, Ajith; Fusco, Matthew R.; Ogilvy, ChristopherVariations of the anterior cerebral artery-anterior communicating artery complex are commonly identified in aneurysm surgery. An infraoptic course of the anterior cerebral artery is exceedingly rare. Robison first described this anomaly from an anatomic dissection in 1959. A unilateral anomalous infraoptic anterior cerebral artery is more common than anomalies of bilateral infraoptic anterior cerebral arteries. We present the case of an unruptured aneurysm at the anterior communicating artery in a patient with bilateral infraoptic anterior cerebral arteries, identified by computed tomography angiography and verified during surgery. Implications for aneurysm formation and surgical treatment are discussed.