title: Management of a giant middle cerebral artery fusiform serpentine aneurysm with distal clip application and retrograde thrombosis: case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Neurosurgery, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pennsylvania 15213.
authors.forename: M B
authors.initials: MB
authors.lastname: Horowitz
authors.forename: H
authors.initials: H
authors.lastname: Yonas
authors.forename: C
authors.initials: C
authors.lastname: Jungreis
authors.forename: T K
authors.initials: TK
authors.lastname: Hung
mesh_terms: 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