Treatment of a Giant Serpentine Aneurysm in the Anterior Cerebral Artery
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 141-146, 2016.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Encéphale
/
Angiographie cérébrale
/
Anévrysme intracrânien
/
Revascularisation cérébrale
/
Études de suivi
/
Artère cérébrale antérieure
/
Lobe frontal
/
Céphalée
/
Anévrysme
/
Cou
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of Cerebrovascular and Endovascular Neurosurgery
Année:
2016
Type:
Article
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