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.
| Original language | English |
|---|---|
| Pages (from-to) | 406-408 |
| Number of pages | 3 |
| Journal | Journal of Korean Neurosurgical Society |
| Volume | 47 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2010 |
| Externally published | Yes |
Keywords
- Fusiform aneurysm
- Middle cerebral artery
- Stent
- Therapeutic embolization
ASJC Scopus subject areas
- Surgery
- General Neuroscience
- Clinical Neurology
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