Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate

Can J Neurol Sci. 2001 Aug;28(3):256-9. doi: 10.1017/s0317167100001426.


Background: Aneurysms arising from lenticulostriate artery branches in moyamoya-type disease are challenging lesions to treat, due to their fragility and deep location. Surgery is difficult and endovascular options may be limited.

Methods: A 57-year-old woman presented with a right ganglionic parenchymal hemorrhage due to a ruptured lenticulostriate artery aneurysm associated with ipsilateral middle cerebral artery occlusion. The aneurysm and parent feeding artery were occluded using endovascular injection of N-butyl cyanoacrylate.

Results: The aneurysm was successfully obliterated and although some glue did enter the more distal middle cerebral artery, there was no change in the patient's neurologic status.

Conclusions: In highly selected cases where lenticulostriate aneurysms cannot be directly accessed for surgery or endovascular coiling, obliteration with liquid acrylic glue may be considered as a therapeutic option.

Publication types

  • Case Reports

MeSH terms

  • Basal Ganglia / diagnostic imaging
  • Cerebral Angiography
  • Cerebral Arteries / diagnostic imaging*
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / therapy
  • Enbucrilate / analogs & derivatives*
  • Enbucrilate / therapeutic use*
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / therapy*
  • Middle Aged
  • Middle Cerebral Artery / diagnostic imaging
  • Tissue Adhesives / therapeutic use*
  • Tomography, X-Ray Computed


  • Tissue Adhesives
  • Enbucrilate