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http://dx.doi.org/10.3340/jkns.2012.51.1.62

Endovascular Treatment of a Large Partially Thrombosed Basilar Tip Aneurysm  

Kim, Young-Joon (Department of Neurosurgery, Dankook University College of Medicine)
Ko, Jung-Ho (Department of Neurosurgery, Dankook University College of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.51, no.1, 2012 , pp. 62-65 More about this Journal
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 $18{\times}18$ 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 $6.8{\times}5.6$ 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.
Keywords
Endovascular treatment; Thrombosed aneurysm;
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