Endovascular Treatment of a Large Partially Thrombosed Basilar Tip Aneurysm.
10.3340/jkns.2012.51.1.62
- Author:
Young Joon KIM
1
;
Jung Ho KO
Author Information
1. Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea. kimyj@dku.edu
- Publication Type:Case Report
- Keywords:
Endovascular treatment;
Thrombosed aneurysm
- MeSH:
Adult;
Aneurysm;
Brain;
Cerebral Angiography;
Follow-Up Studies;
Headache;
Humans;
Magnetic Resonance Imaging;
Neck;
Thrombosis
- From:Journal of Korean Neurosurgical Society
2012;51(1):62-65
- CountryRepublic of Korea
- Language:English
-
Abstract:
Despite the remarkable developments in neurosurgical and neuro-interventional procedures, the optimal treatment for large or giant partially thrombosed aneurysms with a mass effect remains controversial. The authors report a case of a partially thrombosed aneurysm with a mass effect, which was successfully treated by stent-assisted coil embolization. A 41-year-old man presented with headache. Brain computed tomography depicted an 18x18 mm sized thrombosed aneurysm in the interpeducular cistern. More than 80% of the aneurysm volume was filled with thrombus and the canalized portion beyond its neck measured 6.8x5.6 mm by diagnostic cerebral angiography. Stent-assisted endovascular coiling was performed on the canalized sac and the aneurysm was completely obliterated. Furthermore, most of the thrombosed aneurysm disappeared in the interpeduncular cistern was clearly visualized follow-up brain magnetic resonance imaging conducted at 21 months. The authors report a case of selective coiling of a large, partially thrombosed basilar tip aneurysm.
