Treatment of a Giant Serpentine Aneurysm in the Anterior Cerebral Artery
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 141-146, 2016.
Article
in English
| WPRIM
| ID: wpr-11239
ABSTRACT
A giant serpentine aneurysm (GSA) in the anterior cerebral artery (ACA) poses a technical challenge in treatment given its large size, unique neck, and dependent distal vessels. Here we report the case of a GSA in the ACA successfully treated with a combined surgical and endovascular approach. A 54-year-old woman presented with dull headache. On brain computed tomography (CT), a large mass (7 cm × 5 cm × 5 cm) was identified in the left frontal lobe. Cerebral angiography revealed a GSA in the left ACA. Bypass surgery of the distal ACA was performed, followed byocclusion of the entry channel via an endovascular approach. Follow-up CT performed 5 days after treatment revealed disappearance of the vascular channel and peripheral rim enhancement. Follow-up imaging studies performed 7 months after treatment revealed gradual reduction of the mass effect and patency of bypass flow. No complications were noted over a period of 1 year after surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Cerebral Angiography
/
Intracranial Aneurysm
/
Cerebral Revascularization
/
Follow-Up Studies
/
Anterior Cerebral Artery
/
Frontal Lobe
/
Headache
/
Aneurysm
/
Neck
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2016
Type:
Article
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