Surgical treatment of a gauzoma with associated obliterative arteriopathy and review of the literature

Acta Neurochir (Wien). 2018 Jun;160(6):1195-1202. doi: 10.1007/s00701-017-3440-5. Epub 2017 Dec 27.


We report a case of a 50-year-old woman whose 0.5 mm middle cerebral artery (MCA) aneurysm was treated with gauze wrapping at an outside facility. She returned 9 months later with seizures and an inflammatory process in the region of the prior aneurysm. Surgical re-exploration at that time was aborted. Two years later, she presented with a gauzoma associated with local inflammatory response and severe narrowing of the MCA. A common carotid artery to MCA bypass was performed, followed by surgical removal of the gauze and inflammatory material. Over a 3-month period, she recovered with significant improvement in her preoperative neurological deficits.

Keywords: Extracranial-intracranial bypass; Gauzoma; Intracranial aneurysm; Microsurgical wrapping.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Equipment Failure
  • Female
  • Humans
  • Intracranial Aneurysm / surgery*
  • Middle Aged
  • Neurosurgical Procedures / adverse effects*
  • Neurosurgical Procedures / instrumentation
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery