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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Young-Joon (Department of Neurosurgery, Dankook University College of Medicine) Ko, Jung-Ho (Department of Neurosurgery, Dankook University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제51권 제1호
발행연도
2012.1
수록면
62 - 65 (4page)

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Despite the remarkable developments in neurosurgical and neuro-interventional procedures, the optimal treatment for large or giant partially thrombosed aneurysms with a mass effect remains controversial. The authors report a case of a partially thrombosed aneurysm with a mass effect, which was successfully treated by stent-assisted coil embolization. A 41-year-old man presented with headache. Brain computed tomography depicted an $18{\times}18$ mm sized thrombosed aneurysm in the interpeducular cistern. More than 80% of the aneurysm volume was filled with thrombus and the canalized portion beyond its neck measured $6.8{\times}5.6$ mm by diagnostic cerebral angiography. Stent-assisted endovascular coiling was performed on the canalized sac and the aneurysm was completely obliterated. Furthermore, most of the thrombosed aneurysm disappeared in the interpeduncular cistern was clearly visualized follow-up brain magnetic resonance imaging conducted at 21 months. The authors report a case of selective coiling of a large, partially thrombosed basilar tip aneurysm.

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