Long-term follow-up of giant serpentine MCA aneurysm treated with EC-IC bypass and proximal occlusion.
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.
Amin-Hanjani
S
S
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA.
Chen
P R
PR
Chang
S W
SW
Spetzler
R F
RF
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