Amin-Hanjani S, Chen P R, Chang S W, Spetzler R F
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA.
Acta Neurochir (Wien). 2006 Feb;148(2):227-8. doi: 10.1007/s00701-005-0691-3. Epub 2005 Dec 1.
Giant serpentine aneurysms are a rare but important subset of giant aneurysms, with unique management considerations. We present long-term follow-up clinical and imaging features of a giant serpentine middle cerebral artery lesion treated with extracranial-intracranial bypass and proximal occlusion more than a decade earlier. Calcification of the obliterated aneurysm sac and durability of this management strategy are demonstrated.
巨大蜿蜒状动脉瘤是巨大动脉瘤中罕见但重要的一个亚组,有独特的治疗考量。我们展示了一例十多年前接受颅外-颅内搭桥及近端闭塞治疗的巨大蜿蜒状大脑中动脉病变的长期随访临床和影像学特征。证实了闭塞动脉瘤囊的钙化以及该治疗策略的持久性。