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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.18 No.2
- 발행연도
- 2016.1
- 수록면
- 141 - 146 (6page)
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초록· 키워드
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A giant serpentine aneurysm (GSA) in the anterior cerebral artery (ACA) poses a technical challenge in treatment given its large size, unique neck, and dependent distal vessels. Here we report the case of a GSA in the ACA successfully treated with a combined surgical and endovascular approach. A 54-year-old woman presented with dull headache. On brain computed tomography (CT), a large mass (7 cm × 5 cm × 5 cm) was identified in the left frontal lobe. Cerebral angiography revealed a GSA in the left ACA. Bypass surgery of the distal ACA was performed, followed byocclusion of the entry channel via an endovascular approach. Follow-up CT performed 5 days after treatment revealed disappearance of the vascular channel and peripheral rim enhancement. Follow-up imaging studies performed 7 months after treatment revealed gradual reduction of the mass effect and patency of bypass flow. No complications were noted over a period of 1 year after surgery.
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참고문헌 (16)
참고문헌 신청
Abla AA / 2014 / Anterior cerebral artery bypass for complex aneurysms: An experience with intracranial-intracranial reconstruction and review of bypass options / J Neurosurg. 120(6):1364~1377
Aletich VA / 1995 / Giant serpentine aneurysms: A review and presentation of five cases / AJNR Am J Neuroradiol. 16(5):1061~1072
Amin-Hanjani S / 2006 / Long-term follow-up of giant serpentine MCA aneurysm treated with EC-IC bypass and proximal occlusion / Acta Neurochir (Wien) 148(2):227~228
Carlson AP / 2015 / Tailored PICA revascularization for unusual ruptured fusiform vertebro-PICA origin aneurysms: Rationale and case illustrations / J Neurol Surg Rep. 76(2):e275~e278
Christiano LD / 2009 / Giant serpentine aneurysms / Neurosurg Focus 26(5):E5
Aletich VA / 1995 / Giant serpentine aneurysms: A review and presentation of five cases / AJNR Am J Neuroradiol. 16(5):1061~1072
Amin-Hanjani S / 2006 / Long-term follow-up of giant serpentine MCA aneurysm treated with EC-IC bypass and proximal occlusion / Acta Neurochir (Wien) 148(2):227~228
Carlson AP / 2015 / Tailored PICA revascularization for unusual ruptured fusiform vertebro-PICA origin aneurysms: Rationale and case illustrations / J Neurol Surg Rep. 76(2):e275~e278
Christiano LD / 2009 / Giant serpentine aneurysms / Neurosurg Focus 26(5):E5
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