Endovascular Treatment of a Large Partially Thrombosed Basilar Tip Aneurysm
Journal of Korean Neurosurgical Society
;
: 62-65, 2012.
Article
in English
| WPRIM
| ID: wpr-145558
ABSTRACT
Despite the remarkable developments in neurosurgical and neuro-interventional procedures, the optimal treatment for large or giant partially thrombosed aneurysms with a mass effect remains controversial. The authors report a case of a partially thrombosed aneurysm with a mass effect, which was successfully treated by stent-assisted coil embolization. A 41-year-old man presented with headache. Brain computed tomography depicted an 18x18 mm sized thrombosed aneurysm in the interpeducular cistern. More than 80% of the aneurysm volume was filled with thrombus and the canalized portion beyond its neck measured 6.8x5.6 mm by diagnostic cerebral angiography. Stent-assisted endovascular coiling was performed on the canalized sac and the aneurysm was completely obliterated. Furthermore, most of the thrombosed aneurysm disappeared in the interpeduncular cistern was clearly visualized follow-up brain magnetic resonance imaging conducted at 21 months. The authors report a case of selective coiling of a large, partially thrombosed basilar tip aneurysm.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thrombosis
/
Brain
/
Magnetic Resonance Imaging
/
Cerebral Angiography
/
Follow-Up Studies
/
Headache
/
Aneurysm
/
Neck
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2012
Type:
Article
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