Management of a giant middle cerebral artery fusiform serpentine aneurysm with distal clip application and retrograde thrombosis: case report and review of the literature

Surg Neurol. 1994 Mar;41(3):221-5. doi: 10.1016/0090-3019(94)90126-0.


Giant fusiform aneurysms are rare vascular anomalies that due to their size are often difficult to manage. We describe one such aneurysm that was managed with a superficial temporal to middle cerebral artery bypass followed by the application of a single clip just distal to the vascular dilation. Follow-up angiography has shown aneurysm obliteration by the process of retrograde thrombosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cerebral Angiography
  • Cerebral Arteries / surgery*
  • Epilepsy, Generalized / diagnosis
  • Epilepsy, Generalized / etiology
  • Humans
  • Intracranial Aneurysm / diagnosis
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / surgery*
  • Intracranial Embolism and Thrombosis / complications
  • Intracranial Embolism and Thrombosis / diagnosis
  • Intracranial Embolism and Thrombosis / surgery*
  • Magnetic Resonance Imaging
  • Male
  • Methods