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Near-Complete Resolution of Clinical and Radiographic Findings After Endovascular Embolization of a Giant Serpentine A1 Aneurysm.
Krafft, Paul R; Yonas, Howard; Carlson, Andrew P.
Afiliación
  • Krafft PR; Department of Neurosurgery, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA.
  • Yonas H; Department of Neurosurgery, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA.
  • Carlson AP; Department of Neurosurgery, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA. Electronic address: andrewcarlson@salud.unm.edu.
World Neurosurg ; 86: 512.e9-14, 2016 Feb.
Article en En | MEDLINE | ID: mdl-26428321
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica / Procedimientos Endovasculares Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Aged / Female / Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica / Procedimientos Endovasculares Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Aged / Female / Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos