| Title: | Near-Complete Resolution of Clinical and Radiographic Findings After Endovascular Embolization of a Giant Serpentine A1 Aneurysm |
| Author(s): | Krafft PR; Yonas H; Carlson AP; |
| Address: | "Department of Neurosurgery, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA. Department of Neurosurgery, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA. Electronic address: andrewcarlson@salud.unm.edu" |
| DOI: | 10.1016/j.wneu.2015.09.057 |
| ISSN/ISBN: | 1878-8769 (Electronic) 1878-8750 (Linking) |
| Abstract: | "BACKGROUND: Giant serpentine aneurysms are complex intracranial lesions, associated with a poor prognosis if left untreated. Treatment usually involves surgical trapping of the aneurysm with arterio-arterial anastomosis; however, recent endovascular management has been implemented for the management of such aneurysms. CASE DESCRIPTION: We report the unique case of a 71-year-old woman who presented with visual deficits due to the mass effect of a giant serpentine aneurysm arising from the A1 segment of the anterior cerebral artery. Because of its location proximal to a widely patent anterior communicating artery, angiographic cure was achieved with sacrifice of the A1 segment. Clinical and radiographic follow-up demonstrated resolution of the presenting symptoms and near-complete obliteration of the aneurysm. CONCLUSIONS: Thrombosed giant serpentine aneurysms can show dramatic resolution of mass effect with endovascular treatment" |
| Keywords: | "Aged *Embolization, Therapeutic *Endovascular Procedures Female Humans Intracranial Aneurysm/diagnostic imaging/*pathology/*therapy Radiography Anterior cerebral artery Endovascular Giant serpentine aneurysm;" |
| Notes: | "MedlineKrafft, Paul R Yonas, Howard Carlson, Andrew P eng Case Reports 2015/10/03 World Neurosurg. 2016 Feb; 86:512.e9-14. doi: 10.1016/j.wneu.2015.09.057. Epub 2015 Sep 30" |
