Journal of Korean Neurosurgical Society

  • 제48권2호
  • /
  • Pages.177-180
  • /
  • 2010
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Giant Serpentine Aneurysm of the Middle Cerebral Artery

  • Lee, Seung-Joo (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Chang-Jin (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2009.12.29
  • 심사 : 2010.08.03
  • 발행 : 2010.08.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Giant serpentine aneurysms are rare and have distinct angiographic findings. The rarity, large size, complex anatomy and hemodynamic characteristics of giant serpentine aneurysms make treatment difficult. We report a case of a giant serpentine aneurysm of the right middle cerebral artery (MCA) that presented as headache. Treatment involved a superficial temporal artery (STA)-MCA bypass followed by aneurysm resection. The patient was discharged without neurological deficits, and early and late follow-up angiography disclosed successful removal of the aneurysm and a patent bypass graft. We conclude that STA-MCA bypass and aneurysm excision is a successful treatment method for a giant serpentine aneurysm.

키워드

참고문헌

  1. Aletich VA, Debrun GM, Monsein LH, Nauta HJ, Spetzler RF : Giant serpentine aneurysm : a review and presentation of five cases. AJNR Am J Neuroradiol 16 : 1061-1072, 1995
  2. Amin-Hanjani S, Chen PR, Chang SW, Spetzler RF : Long-term follow-up of giant serpentine MCA aneurysm treated with EC-IC bypass and proximal occlusion. Acta Neurochir (Wien) 148 : 227-228, 2006 https://doi.org/10.1007/s00701-005-0691-3
  3. Belec L, Cesaro P, Brugieres P, Gray F : Tumor-simulating giant serpentine aneurysm of the posterior cerebral artery. Surg Neurol 29 : 210-215, 1988 https://doi.org/10.1016/0090-3019(88)90008-0
  4. Christiano LD, Gupta G, Prestigiacomo CJ, Gandhi CD : Giant serpentine aneurysms. Neurosurg Focus 26 : E5, 2009
  5. Coley SC, Hodgson TJ, Jakubowski J : Coil embolization of giant serpentine aneurysms : report of two cases arising from the posterior cerebral artery. Br J Neurosurg 16 : 43-47, 2002 https://doi.org/10.1080/02688690120114219
  6. Drake CG, Peerless SJ : Giant fusiform intracranial aneurysm : review of 120 patients treated surgically from 1965 to 1992. J Neurosurg 87 : 141-162, 1997 https://doi.org/10.3171/jns.1997.87.2.0141
  7. Fanning NF, Kelleher MO, Ryder DQ : The pretzel sign : angiographic pattern of tortuous intra-aneurysmal blood flow in a giant serpentine aneurysm. Br J Neurosurg 17 : 67-71, 2003 https://doi.org/10.3109/02688690309177975
  8. Horowitz MB, Yonas H, Jungreis C, Hung TK : Management of a giant middle cerebral artery fusiform serpentine aneurysm with distal clip application and retrograde thrombosis : case report and review of the literature. Surg Neurol 41 : 221-225, 1994 https://doi.org/10.1016/0090-3019(94)90126-0
  9. Lee KC, Joo JY, Lee KS, Shin YS : Recanalization of completely thrombosed giant aneurysm : case report. Surg Neurol 51 : 94-98, 1999 https://doi.org/10.1016/S0090-3019(97)00346-7
  10. Lukin RR, Chambers AA, McLaurin R, Tew J Jr : Thrombosed giant middle cerebral aneurysms. Neuroradiology 10 : 125-129, 1975 https://doi.org/10.1007/BF00341812
  11. Mahadevan A, Tagore R, Siddappa NB, Santosh V, Yasha TC, Ranga U, et al. : Giant serpentine aneurysm of vertebrobasilar artery mimicking dolichoectasia--an unusual complication of pediatric AIDS. Report of a case with review of the literature. Clin Neuropathol 27 : 37-52, 2008 https://doi.org/10.5414/NPP27037
  12. Sari A, Kandemir S, Kuzeyli K, Dinc H : Giant serpentine aneurysm with acute spontaneous complete thrombosis. AJNR Am J Neuroradiol 27 : 766-768, 2006
  13. Scott M, Skwarok E : The treatment of cerebral aneurysms by ligation of the common carotid artery. Surg Gynecol Obstet 113 : 54-61, 1961
  14. Segal HD, McLaurin RL : Giant serpentine aneurysm. Report of two cases. J Neurosurg 46 : 115-120, 1977 https://doi.org/10.3171/jns.1977.46.1.0115
  15. Suzuki S, Takahashi T, Ohkuma H, Shimizu T, Fujita S : Management of giant serpentine aneurysms of the middle cerebral artery-- review of literature and report of a case successfully treated by STAMCA anastomosis only. Acta Neurochir (Wien) 117 : 23-29, 1992 https://doi.org/10.1007/BF01400630
  16. van Rooij WJ, Sluzewski M, Beute GN : Endovascular treatment of giant serpentine aneurysms. AJNR Am J Neuroradiol 29 : 1418-1419, 2008 https://doi.org/10.3174/ajnr.A1071

피인용 문헌

  1. Surgical Flow Alteration for the Treatment of Intracranial Aneurysms That Are Unclippable, Untrappable, and Uncoilable vol.58, pp.6, 2015, https://doi.org/10.3340/jkns.2015.58.6.518
  2. Study and Therapeutic Progress on Intracranial Serpentine Aneurysms vol.13, pp.6, 2016, https://doi.org/10.7150/ijms.14934
  3. Endovascular Treatment of Giant Serpentine Aneurysm of the Middle Cerebral Artery vol.18, pp.3, 2016, https://doi.org/10.7461/jcen.2016.18.3.264
  4. Giant Serpentine Cerebral Aneurysm of the Middle Cerebral Artery: Case Report vol.7, pp.1, 2010, https://doi.org/10.4236/ojmi.2017.71002