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; D015901:Angiography, Digital Subtraction; D002339:Carotid Arteries / Q000473:pathology; D002404:Catheterization; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D020768:Middle Cerebral Artery; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D012640:Seizures / Q000209:etiology; D015607:Stents; D013525:Surgical Instruments
chemical_list: D010975:Platelet Aggregation Inhibitors