title: Long-term follow-up of giant serpentine MCA aneurysm treated with EC-IC bypass and proximal occlusion.
abstract: Giant serpentine aneurysms are a rare but important subset of giant aneurysms, with unique management considerations. We present long-term follow-up clinical and imaging features of a giant serpentine middle cerebral artery lesion treated with extracranial-intracranial bypass and proximal occlusion more than a decade earlier. Calcification of the obliterated aneurysm sac and durability of this management strategy are demonstrated.
authors.affiliation: Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA.
authors.forename: S
authors.initials: S
authors.lastname: Amin-Hanjani
authors.forename: P R
authors.initials: PR
authors.lastname: Chen
authors.forename: S W
authors.initials: SW
authors.lastname: Chang
authors.forename: R F
authors.initials: RF
authors.lastname: Spetzler
mesh_terms: D000293:Adolescent; D002113:Calcification, Physiologic / Q000502:physiology; D002548:Cerebral Revascularization / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology; D011859:Radiography; D013699:Temporal Arteries / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery; D013995:Time; D016896:Treatment Outcome