Korean J Cerebrovasc Surg.  2010 Dec;12(4):233-236.

Giant Intracranial Aneurysm with Blind Sac on Middle Cerebral Artery: Case Report

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea. chosj@schmc.ac.kr

Abstract

A case of a giant intracranial aneurysm (GIA) with a blind sac on the left middle cerebral artery (MCA) accompanied by mural thrombosis is described. A 62-year-old male presented with headache and motor dysphasia. Magnetic resonance imaging and digital subtraction angiography revealed a GIA that arose from the proximal MCA. The M2 segment of the MCA was not visualized due to intramural thrombosis. The patient was treated with an extracranial-intracranial arterial bypass and trapping of the aneurysm. Literature relevant to the management of this rare lesion is reviewed and discussed.

Keyword

Giant intracranial aneurysm; Extracranial-intracranial arterial bypass

MeSH Terms

Aneurysm
Angiography, Digital Subtraction
Aphasia
Cerebral Revascularization
Headache
Humans
Intracranial Aneurysm
Magnetic Resonance Imaging
Male
Middle Aged
Middle Cerebral Artery
Thrombosis
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