title: Giant serpentine aneurysm arising from the middle cerebral artery successfully treated with trapping and anastomosis: case report.
abstract: A 56-year-old man presented with a giant serpentine aneurysm arising from the middle cerebral artery (MCA) manifesting as right hemiparesis and motor aphasia. Magnetic resonance imaging and digital subtraction angiography identified the giant serpentine aneurysm arising from the MCA. The patient was treated surgically. Temporary clipping of the distal channel induced thrombosis in the vascular channel, and the thrombosis was aspirated with an ultrasonic suction device after superficial temporal artery-MCA anastomosis. This case shows that initial occlusion of the distal channel is effective to treat giant serpentine aneurysm.
authors.affiliation: Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Shimane, Japan. tenmab-s@sand.ocn.ne.jp
authors.forename: Masaru
authors.initials: M
authors.lastname: Abiko
authors.forename: Fusao
authors.initials: F
authors.lastname: Ikawa
authors.forename: Naohiko
authors.initials: N
authors.lastname: Ohbayashi
authors.forename: Takafumi
authors.initials: T
authors.lastname: Mitsuhara
authors.forename: Ryo
authors.initials: R
authors.lastname: Nosaka
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Inagawa
mesh_terms: D015901:Angiography, Digital Subtraction; D001037:Aphasia / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D002548:Cerebral Revascularization; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D020767:Intracranial Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D019635:Neurosurgical Procedures; D010291:Paresis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D013525:Surgical Instruments; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures / Q000379:methods