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KMID : 1001920100480020177
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Journal of Korean Neurosurgical Society
2010 Volume.48 No. 2 p.177 ~ p.180
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Giant Serpentine Aneurysm of the Middle Cerebral Artery
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Lee Seung-Joo
Ahn Jae-Sung
Kwun Byung-Duk
Kim Chang-Jin
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Abstract
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Giant 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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KEYWORD
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Angiographic feature, Bypass surgery, Giant serpentine aneurysm
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