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http://dx.doi.org/10.3340/jkns.2010.47.5.406

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)
Publication Information
Journal of Korean Neurosurgical Society / v.47, no.5, 2010 , pp. 406-408 More about this Journal
Abstract
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.
Keywords
Middle cerebral artery; Fusiform aneurysm; Therapeutic embolization; Stent;
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