J Korean Neurosurg Soc.
2010 Aug;48(2):177-180. 10.3340/jkns.2010.48.2.177.
Giant Serpentine Aneurysm of the Middle Cerebral Artery
- Affiliations
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- 1Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jsahn@amc.seo
- KMID: 2138399
- DOI: http://doi.org/10.3340/jkns.2010.48.2.177
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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