Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Giant Serpentine Aneurysm of the Middle Cerebral Artery

  • Lee, Seung-Joo (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Chang-Jin (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2009.12.29
  • Accepted : 2010.08.03
  • Published : 2010.08.28
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Abstract

Giant serpentine aneurysms are rare and have distinct angiographic findings. The rarity, large size, complex anatomy and hemodynamic characteristics of giant serpentine aneurysms make treatment difficult. We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that presented as headache. Treatment involved a superficial temporal artery (STA)-MCA bypass followed by aneurysm resection. The patient was discharged without neurological deficits, and early and late follow-up angiography disclosed successful removal of the aneurysm and a patent bypass graft. We conclude that STA-MCA bypass and aneurysm excision is a successful treatment method for a giant serpentine aneurysm.

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References

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  2. Study and Therapeutic Progress on Intracranial Serpentine Aneurysms vol.13, pp.6, 2016, https://doi.org/10.7150/ijms.14934
  3. Endovascular Treatment of Giant Serpentine Aneurysm of the Middle Cerebral Artery vol.18, pp.3, 2016, https://doi.org/10.7461/jcen.2016.18.3.264
  4. Giant Serpentine Cerebral Aneurysm of the Middle Cerebral Artery: Case Report vol.7, pp.1, 2010, https://doi.org/10.4236/ojmi.2017.71002