Giant Serpentine Aneurysm Arising From the Middle Cerebral Artery Successfully Treated With Trapping and Anastomosis -Case Report-

  • ABIKO Masaru
    Department of Neurosurgery, Shimane Prefectural Central Hospital
  • IKAWA Fusao
    Department of Neurosurgery, Shimane Prefectural Central Hospital
  • OHBAYASHI Naohiko
    Department of Neurosurgery, Shimane Prefectural Central Hospital
  • MITSUHARA Takafumi
    Department of Neurosurgery, Shimane Prefectural Central Hospital
  • NOSAKA Ryo
    Department of Neurosurgery, Shimane Prefectural Central Hospital
  • INAGAWA Tetsuji
    Department of Neurosurgery, Shimane Prefectural Central Hospital

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タイトル別名
  • —Case Report—

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A 56-year-old man presented with a giant serpentine aneurysm arising from the middle cerebral artery (MCA) manifesting as right hemiparesis and motor aphasia. Magnetic resonance imaging and digital subtraction angiography identified the giant serpentine aneurysm arising from the MCA. The patient was treated surgically. Temporary clipping of the distal channel induced thrombosis in the vascular channel, and the thrombosis was aspirated with an ultrasonic suction device after superficial temporal artery-MCA anastomosis. This case shows that initial occlusion of the distal channel is effective to treat giant serpentine aneurysm.<br>

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