Treatment of a Giant Serpentine Aneurysm in the Anterior Cerebral Artery.
10.7461/jcen.2016.18.2.141
- Author:
Sung Tae KIM
1
;
Young Gyun JEONG
;
Hae Woong JEONG
Author Information
1. Department of Neurosurgery, Busan Paik Hospital, Inje University, School of Medicine, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Intracranial aneurysm;
Anterior cerebral artery;
Cerebral revascularization
- MeSH:
Aneurysm*;
Anterior Cerebral Artery*;
Brain;
Cerebral Angiography;
Cerebral Revascularization;
Female;
Follow-Up Studies;
Frontal Lobe;
Headache;
Humans;
Intracranial Aneurysm;
Middle Aged;
Neck
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2016;18(2):141-146
- CountryRepublic of Korea
- Language:English
-
Abstract:
A giant serpentine aneurysm (GSA) in the anterior cerebral artery (ACA) poses a technical challenge in treatment given its large size, unique neck, and dependent distal vessels. Here we report the case of a GSA in the ACA successfully treated with a combined surgical and endovascular approach. A 54-year-old woman presented with dull headache. On brain computed tomography (CT), a large mass (7 cm × 5 cm × 5 cm) was identified in the left frontal lobe. Cerebral angiography revealed a GSA in the left ACA. Bypass surgery of the distal ACA was performed, followed byocclusion of the entry channel via an endovascular approach. Follow-up CT performed 5 days after treatment revealed disappearance of the vascular channel and peripheral rim enhancement. Follow-up imaging studies performed 7 months after treatment revealed gradual reduction of the mass effect and patency of bypass flow. No complications were noted over a period of 1 year after surgery.
