Endovascular treatment of giant serpentine aneurysms

AJNR Am J Neuroradiol. 2008 Aug;29(7):1418-9. doi: 10.3174/ajnr.A1071. Epub 2008 Apr 3.

Abstract

Giant serpentine aneurysms are fusiform partially thrombosed aneurysms with a separate outflow tract to normal distal cerebral vessels. Three patients with giant serpentine aneurysms of the anterior and middle cerebral arteries were treated with endovascular occlusion of the aneurysmal lumen with coils or glue after balloon test occlusion of the involved vessel. In all 3 patients, leptomeningeal collateral circulation was sufficient to prevent distal ischemia.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / prevention & control
  • Cerebral Angiography
  • Collateral Circulation / physiology
  • Embolization, Therapeutic / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / therapy*
  • Intracranial Thrombosis / diagnostic imaging
  • Intracranial Thrombosis / therapy*
  • Male
  • Meninges / blood supply
  • Middle Aged
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / therapy
  • Tomography, X-Ray Computed