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KMID : 1005420160180020141
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 2 p.141 ~ p.146
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Treatment of a Giant Serpentine Aneurysm in the Anterior Cerebral Artery
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Kim Sung-Tae
Jeong Young-Gyun
Jeong Hae-Woong
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Abstract
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A giant serpentine aneurysm (GSA) in the anterior cerebral artery (ACA) poses a technical challenge in treatment given its large size, unique neck, and dependent distal vessels. Here we report the case of a GSA in the ACA successfully treated with a combined surgical and endovascular approach. A 54-year-old woman presented with dull headache. On brain computed tomography (CT), a large mass (7 cm × 5 cm × 5 cm) was identified in the left frontal lobe. Cerebral angiography revealed a GSA in the left ACA. Bypass surgery of the distal ACA was performed, followed byocclusion of the entry channel via an endovascular approach. Follow-up CT performed 5 days after treatment revealed disappearance of the vascular channel and peripheral rim enhancement. Follow-up imaging studies performed 7 months after treatment revealed gradual reduction of the mass effect and patency of bypass flow. No complications were noted over a period of 1 year after surgery.
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KEYWORD
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Intracranial aneurysm, Anterior cerebral artery, Cerebral revascularization
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