Management of a giant middle cerebral artery fusiform serpentine aneurysm with distal clip application and retrograde thrombosis: case report and review of the literature.
Giant fusiform aneurysms are rare vascular anomalies that due to their size are often difficult to manage. We describe one such aneurysm that was managed with a superficial temporal to middle cerebral artery bypass followed by the application of a single clip just distal to the vascular dilation. Follow-up angiography has shown aneurysm obliteration by the process of retrograde thrombosis.
Horowitz
M B
MB
Department of Neurosurgery, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pennsylvania 15213.
Yonas
H
H
Jungreis
C
C
Hung
T K
TK
D000328:Adult; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000601:surgery*; D004829:Epilepsy, Generalized / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002542:Intracranial Embolism and Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008722:Methods