title: Treatment of a pediatric recurrent fusiform middle cerebral artery (MCA) aneurysm with a flow diverter.
abstract: Pediatric patients with aneurysm often have different localizations and morphologies from adults and recurrences are not uncommon after successful clip reconstruction/obliteration. Treatment of a recurrent pediatric aneurysm after clip ligation is a technical challenge. We present the case of an adolescent with a middle cerebral artery (MCA) fusiform aneurysm which recurred following clip reconstruction and bypass. The aneurysm was successfully treated with endovascular flow diversion.
authors.affiliation: Department of Neurosurgery,  Mayo Clinic, Rochester, Minnesota,  USA.
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Burrows
authors.forename: Gregory
authors.initials: G
authors.lastname: Zipfel
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lanzino
mesh_terms: D000293:Adolescent; D001241:Aspirin / Q000627:therapeutic use; D002533:Cerebral Angiography; D000077144:Clopidogrel; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin