Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm

  • Jeong, Seong-Man (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Kang, Shin-Hyuk (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lee, Nam-Joon (Department of Radiology, College of Medicine, Korea University) ;
  • Lim, Dong-Jun (Department of Neurosurgery, College of Medicine, Korea University)
  • Received : 2010.03.08
  • Accepted : 2010.05.17
  • Published : 2010.05.28
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Abstract

Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.

Keywords

References

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