Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Coil Embolization for Distal Middle Cerebral Artery Aneurysm

  • Cho, Chun-Sung (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Kim, Young-Joon (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Lee, Sang-Koo (Department of Neurosurgery, Dankook University College of Medicine) ;
  • Cho, Maeng-Ki (Department of Neurosurgery, Dankook University College of Medicine)
  • Published : 2007.03.30
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Abstract

Middle cerebral artery [MCA] aneurysms are a common source of subarachnoid hemorrhage [SAH]. But, ruptured distal MCA aneurysm is very rare, and their clinical and radiological features are poorly understood. Microsurgical repair remains the most common method used to treat distal MCA aneurysm, even though endovascular coiling has been favored recently. We report our experience of successful coiling for ruptured distal MCA aneurysm, In selected patients, coiling may be a good treatment option for ruptured distal MCA aneurysm.

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References

  1. Andrews BT, Raffel C, Rosegay H : Subarachnoid hemorrhage from a peripheral intracranial aneurysm associated with malignant glioma. Neurosurgery 17 : 645-649, 1985 https://doi.org/10.1227/00006123-198510000-00019
  2. Baltacioglus S, Cekirage S, Saatci I, Ozturk H, Arat A, Pamir N, et al : Distal middle cerebral artery aneurysms. Interventional Neuroradiology 8 : 399-407, 2002 https://doi.org/10.1177/159101990200800409
  3. Bohmfalk GL, Story JL, Wissinger JP, Brown WE Jr : Bacterial intracranial aneurysm. J Neurosurg 48 : 369-382, 1978 https://doi.org/10.3171/jns.1978.48.3.0369
  4. Cho CS, Kim YJ : Comparative study of treatment results between surgical neck clipping and endovascular coiling on the ruptured middle cerebral artery aneurysms. J Korean Neurosurg Soc 35 : 178-182, 2004
  5. Chun JY, Smith W, Halbach VV, Higashida RT, Wilson CB, Lawton MT : Current multimodality management of infectious intracranial aneurysms. Neurosurgery 48 : 1203-1214, 2001 https://doi.org/10.1097/00006123-200106000-00001
  6. Chyatte D, Porterfield R : Nuances of middle cerebral artery aneurysm microsurgery. Neurosurgery 48 : 339-346, 2001 https://doi.org/10.1097/00006123-200102000-00020
  7. Deburn GM, Aletich VA, Kehrli P, Misra M, Ausman JI, Charbel F et al : Aneurysm geometry : an important criterion in selecting patients for Guglielmi detachable coiling. Neurol Med Chir 38 : 1-20, 1998 https://doi.org/10.2176/nmc.38.1
  8. Drake CG, Peerless SJ, Ferguson GG : Hunterian proximal arterial occlusion for giant aneurysms of the carotid circulation. J Neurosurg 81 : 656-665, 1994 https://doi.org/10.3171/jns.1994.81.5.0656
  9. Goddard JK, Moran CJ, Cross DT, Derdeyn CP : Absent relationship between the coil-embolization ratio in small aneurysms treated with a single detachable coil and outcomes. Am J Neuroradiol 26 : 1916-1920, 2005
  10. Heros RC, Fritsch MJ : Surgical management of middle cerebral artery aneurysms. Neurosurgery 48 : 780-786, 2001 https://doi.org/10.1097/00006123-200104000-00017
  11. Horiuchi T, Tanaka Y, Takasawa H, Murata T, Yako T, Hongo K : Ruptured distal middle cerebral artery aneurysm. J Neurosurg 100 : 384-388, 2004 https://doi.org/10.3171/jns.2004.100.3.0384
  12. Khayata MH, Aymard A, Casasco A, Herbreteau D, Woimant F, Merland JJ : Selective endovascular techniques in the treatment of cerebral mycotic aneurysms. J Neurosurg 78 : 661-665, 1993 https://doi.org/10.3171/jns.1993.78.4.0661
  13. Kole MK, Pelz DM, Kalapos P, Lee DH, Galka IB, Lownie SP : Endovascular coil embolization of intracranial aneurysms : important factors related to rates and outcomes of incomplete occlusion. J Neurosurg 102 : 607-615, 2005 https://doi.org/10.3171/jns.2005.102.4.0607
  14. Osawa M, Hongo K, Tanaka Y, Nagashima Y, Kitazawa K, Kobayashi S : Results of direct surgery for aneurysmal subarachnoid haemorrhage : outcome of 2055 patients who underwent direct aneurysm surgery and profile of ruptured intracranial aneurysms. Acta Neurochir (Wien) 143 : 655-664, 2001 https://doi.org/10.1007/s007010170043
  15. Piepgras DG, McGrail KM, Tazelaar HD : Intracranial dissection of the distal middle cerebral artery as an uncommon cause of distal cerebral artery aneurysm. J Neurosurg 80 : 909-913, 1994 https://doi.org/10.3171/jns.1994.80.5.0909
  16. Poppen JL : Specific treatment of intracranial aneurysms; experiences with 143 surgically treated patients. J Neurosurg 8 : 75-102, 1951 https://doi.org/10.3171/jns.1951.8.1.0075
  17. Rinne J, Hernesniemi J, Niskanen M, Vapalahti M : Analysis of 561 patients with 690 middle cerebral artery aneurysms : anatomic and clinical features as correlated to management outcome. Neurosurgery 38 : 2-11, 1996 https://doi.org/10.1097/00006123-199601000-00002
  18. Steinberg GK, Guppy KH, Adler JR, Silverberg GD : Stereotactic, angiography-guided clipping of a distal, mycotic intracranial aneurysm using the Cosman-Roberts-Wells system : technical note. Neurosurgery 30 : 408-411, 1992 https://doi.org/10.1227/00006123-199203000-00016
  19. Sundt TM Jr, Kobayashi S, Fode NC, Whisnant JP : Results and complications of surgical management of 809 intracranial aneurysms in 722 cases : Related and unrelated to grade of patient, type of aneurysm, and timing of surgery. J Neurosurg 56 : 753-765, 1982 https://doi.org/10.3171/jns.1982.56.6.0753
  20. Suzuki J, Yoshimoto T, Kayama T : Surgical treatment of middle cerebral artery aneurysms. J Neurosurg 61 : 17-23, 1984 https://doi.org/10.3171/jns.1984.61.1.0017