Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm.
10.3340/jkns.2010.47.5.406
- Author:
Seong Man JEONG
1
;
Shin Hyuk KANG
;
Nam Joon LEE
;
Dong Jun LIM
Author Information
1. Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea. djlim@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Middle cerebral artery;
Fusiform aneurysm;
Therapeutic embolization;
Stent
- MeSH:
Adult;
Anesthesia, General;
Aneurysm;
Angiography;
Angiography, Digital Subtraction;
Embolization, Therapeutic;
Follow-Up Studies;
Headache;
Humans;
Magnetic Resonance Spectroscopy;
Middle Cerebral Artery;
Stents;
Syncope
- From:Journal of Korean Neurosurgical Society
2010;47(5):406-408
- CountryRepublic of Korea
- Language:English
-
Abstract:
Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.
