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논문 기본 정보

자료유형
학술저널
저자정보
Yunho Noh (Department of Neurosurgery Cheonan Hospital Soonchunhyang University School of Medicine Cheonan) Sung Ho Lee (Soonchunhyang University) Seok Mann Yoon (Soonchunhyang University) 송인학 (Department of Cardiothoracic surgery Cheonan Hospital Soonchunhyang University School of Medicine C) 오재상 (순천향대학교)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.23 No.4
발행연도
2021.12
수록면
359 - 364 (6page)
DOI
10.7461/jcen.2021.E2021.06.004

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Partially thrombosed intracranial aneurysm was difficult to treat because of higher recurrence rate compared to non-thrombosed saccular aneurysm. The author reports a case of partially thrombosed intracranial aneurysm causing transient ischemic symptom. A 40-year-old man presented with transient right hemiparesis. Brain magnetic resonance imaging (MRI) depicted low-signal intensity target-like mass lesion on left sylvian fissure, and magnetic resonance angiography (MRA) showed aneurysm on left middle cerebral artery bifurcation (MCBF), suggested thrombosed aneurysm. On operative finding, aneurysm wall had thick and atherosclerotic change, and it was fusiform aneurysm not saccular type. We initially planned direct clip for the aneurysm, but it was failed due to collapse of parent artery after clipping on aneurysm neck. To prevent ischemia, extracranial-intracranial bypass was performed and then thrombectomy with clip reconstruction. To remodeling the fusiform aneurysm, stent-assisted coiling was performed for remnant portion of aneurysm. With staged hybrid technique, giant thrombosed fusiform aneurysm was completely obliterated and the patient did not suffer any neurologic symptoms no longer.

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