Faculty Collaboration Database

Giant serpentine middle cerebral artery aneurysm treated by extracranial-intracranial bypass. Case report. J Neurosurg 1993 Jun;78(6):974-8

Date

06/01/1993

Pubmed ID

8487082

DOI

10.3171/jns.1993.78.6.0974

Scopus ID

2-s2.0-0027270178 (requires institutional sign-in at Scopus site)   36 Citations

Abstract

Giant intracranial aneurysms often pose difficult management issues. Such aneurysms may not be amenable to direct surgical attack because of their size, location, or lack of a clear aneurysmal neck. In such cases, a combination of strategies may provide a means of proximal aneurysm occlusion and distal cerebral revascularization. The authors report the successful treatment of a giant (186.8-ml) serpentine aneurysm of the left middle cerebral artery (MCA) in a 14-year-old boy. The aneurysm was managed in a two-stage procedure in which the MCA branches distal to the aneurysm were anastomosed first with branches of the left superficial temporal artery. After the bypass procedure, direct occlusion of the MCA was performed at the proximal base of the aneurysm at its site of dilatation. The patient had no intraoperative or postoperative complications and was intact neurologically 6 months following the procedures.

Author List

Greene KA, Anson JA, Spetzler RF

Author

Karl A. Greene MD Adjunct Assistant Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Cerebral Angiography
Cerebral Revascularization
Follow-Up Studies
Humans
Intracranial Aneurysm
Magnetic Resonance Imaging
Male
Tomography, X-Ray Computed
Treatment Outcome