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.
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.
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.
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.
The complexes [cation] [Hg(SR)3](R = Me, cation = Et4N+; R = But, cation = Et4N+, Bu4N+, [N(Ph3P)2]+) have been prepared. The crystal structure of the methanethiolate complex shows that it contains centrosymmetric dinuclear anions [(MeS)2Hg(�-SMe)2Hg(SMe)2]2- with distorted tetrahedral geometry about the mercury atoms. Vibrational spectroscopic evidence suggests that this complex dissociates on dissolution in ethanol to give mononuclear [Hg(SMe)3]- species. The ButS- complexes appear to exist as mononuclear [Hg(SBut)3]- species both in the solid state and in solution. The metal-sulfur stretching frequencies are assigned for all of the complexes studied, and the vibrational spectra are discussed in terms of the structures of the complex anions involved. Crystal data for [(C2H5)4N]2Hg2(SCH3)6 : a 8.656(5), b gS130(6), c 12.368(8) �; α 102.16(4), β 105.51(4), γ 105.29(4)�; space group P1, Z 1, R 0.034, Rw 0.042.