• J Korean Neurosurg Soc · Aug 2010

    Giant serpentine aneurysm of the middle cerebral artery.

    • Seung Joo Lee, Jae Sung Ahn, Byung Duk Kwun, and Chang Jin Kim.
    • Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
    • J Korean Neurosurg Soc. 2010 Aug 1; 48 (2): 177-80.

    AbstractGiant serpentine aneurysms are rare and have distinct angiographic findings. The rarity, large size, complex anatomy and hemodynamic characteristics of giant serpentine aneurysms make treatment difficult. We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that presented as headache. Treatment involved a superficial temporal artery (STA)-MCA bypass followed by aneurysm resection. The patient was discharged without neurological deficits, and early and late follow-up angiography disclosed successful removal of the aneurysm and a patent bypass graft. We conclude that STA-MCA bypass and aneurysm excision is a successful treatment method for a giant serpentine aneurysm.

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