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KMID : 1005420100120040233
Journal of Cerebrovascular and Endovascular Neurosurgery
2010 Volume.12 No. 4 p.233 ~ p.236
Giant Intracranial Aneurysm with Blind Sac on Middle Cerebral Artery £­ Case Report£­
Cho Sung-Jin

Park Sukh-Que
Park Hyung-Ki
Chang Jae-Chil
Choi Soon-Kwan
Abstract
A case of a giant intracranial aneurysm (GIA) with a blind sac on the left middle cerebral artery (MCA) accompanied by mural thrombosis is described. A 62-year-old male presented with headache and motor dysphasia. Magnetic resonance imaging and digital subtraction angiography revealed a GIA that arose from the proximal MCA. The M2 segment of the MCA was not visualized due to intramural thrombosis. The patient was treated with an extracranial-intracranial arterial bypass and trapping of the aneurysm. Literature relevant to the management of this rare lesion is reviewed and discussed.
KEYWORD
Giant intracranial aneurysm, Extracranial-intracranial arterial bypass
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