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Neurol. Med. Chir. (Tokyo) · Feb 2009
Case ReportsGiant serpentine aneurysm arising from the middle cerebral artery successfully treated with trapping and anastomosis: case report.
- Masaru Abiko, Fusao Ikawa, Naohiko Ohbayashi, Takafumi Mitsuhara, Ryo Nosaka, and Tetsuji Inagawa.
- Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Shimane, Japan. tenmab-s@sand.ocn.ne.jp
- Neurol. Med. Chir. (Tokyo). 2009 Feb 1;49(2):77-80.
AbstractA 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.
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