title: [A giant thrombosed aneurysm of the anterior communicating artery which developed 18 years after clipping: a case report].
abstract: A 64-year-old man, who had undergone clipping surgery 18 years before for a ruptured anterior communicating artery (ACoA) aneurysm, presented with mild aphasia. A computerized tomography (CT) scan showed a subcortical hemorrhage in the left temporal lobe, and a high density large mass at the ACoA. Neuro-imaging study revealed a giant thrombosed ACoA aneurysm. Thrombectomy and neck clipping were successfully performed, using the interhemispheric approach. The patient was discharged without additional neurological deficits. A long-term follow-up study is thus considered necessary after neck clipping of a ruptured aneurysm.
authors.affiliation: Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-city, Nagano 390-8621, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Iwashita
authors.forename: Y
authors.initials: Y
authors.lastname: Tanaka
authors.forename: J
authors.initials: J
authors.lastname: Koyama
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Hongo
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
mesh_terms: D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology / Q000601:surgery*; D020767:Intracranial Thrombosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013525:Surgical Instruments; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000379:methods*