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Giant serpentine middle cerebral artery aneurysm
A Pany1, M Sobri, S Valarmathi
1Radiology Department, Sunway Medical Centre, Petaling Jaya, Kuala Lumpur.
The Medical Journal of Malaysia
|February 25, 2005
Summary
A rare giant serpentine aneurysm of the right middle cerebral artery was diagnosed in a young man. Endovascular embolization was successfully performed for this complex cerebrovascular condition.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Giant serpentine aneurysms (GSAs) are rare cerebrovascular malformations.
- Partially thrombosed GSAs present diagnostic and therapeutic challenges.
Observation:
- A 26-year-old male presented with headache, followed by neurological deficit.
- Neuroimaging revealed a partially thrombosed giant serpentine aneurysm of the right middle cerebral artery with varied clot stages and a patent lumen.
Findings:
- Catheter angiography confirmed the diagnosis, delineating the aneurysm's location, flow dynamics, and extent.
- The patient underwent successful endovascular embolization for the giant serpentine aneurysm.
Implications:
- This case highlights the importance of advanced imaging in diagnosing complex aneurysms.
- Successful embolization offers a viable treatment option for giant serpentine aneurysms.
- Further research into the pathophysiology and optimal management of GSAs is warranted.