Journal of Korean Neurosurgical Society

  • 제47권5호
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  • Pages.406-408
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm

  • Jeong, Seong-Man (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Kang, Shin-Hyuk (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lee, Nam-Joon (Department of Radiology, College of Medicine, Korea University) ;
  • Lim, Dong-Jun (Department of Neurosurgery, College of Medicine, Korea University)
  • 투고 : 2010.03.08
  • 심사 : 2010.05.17
  • 발행 : 2010.05.28
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초록

Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.

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참고문헌

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피인용 문헌

  1. Middle cerebral artery aneurysms in children: case series and review : Clinical article vol.8, pp.1, 2010, https://doi.org/10.3171/2011.4.peds10583
  2. Characteristics and Clinical Course of Fusiform Middle Cerebral Artery Aneurysms According to Location, Size, and Configuration vol.62, pp.6, 2019, https://doi.org/10.3340/jkns.2019.0132
  3. Cerebral revascularization for the management of complex middle cerebral artery aneurysm: A case series vol.22, pp.2, 2010, https://doi.org/10.3892/etm.2021.10315