title: Combined surgical and endovascular management of a giant fusiform PCA aneurysm in a pediatric patient. A case report.
abstract: Treatment of intracranial giant aneurysms presents is challenging. In the case of pediatric giant aneurysm, more challenges arise. We describe our experience with a 17-year-old pediatric patient who presented with severe headache. She was diagnosed as having a giant fusiform aneurysm at the right P1-P2-Pcom junction. The aneurysm was treated with superficial temporal artery-posterior cerebral artery bypass and subsequent coil embolization of the aneurysm with parent artery occlusion. The patient had an excellent outcome at one-year follow-up. Our case suggests a combined approach of surgical and endovascular management may yield a better outcome than surgery or endovascular management alone in the treatment of pediatric giant aneurysm.
authors.affiliation: Department of Radiology, University of Ulsan College of Medicine, Ulsan, Korea.
authors.forename: S H
authors.initials: SH
authors.lastname: Shin
authors.forename: I S
authors.initials: IS
authors.lastname: Choi
authors.forename: K
authors.initials: K
authors.lastname: Thomas
authors.forename: C A
authors.initials: CA
authors.lastname: David
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000628:therapy*; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*