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[Giant intracranial aneurysms].

J M Gonzalez-Darder¹, J V Pesudo-Martinez, O Wiedermann

¹Servicio de Neurocirugía, Hospital General de Castellon, 12004 Castello de la Plana, Espana. gonzalez_jos@gva.es

Revista De Neurologia

|September 19, 2006

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Giant intracranial aneurysms, including saccular, fusiform, dissecting, and serpentine types, present significant neurosurgical management challenges. Understanding their distinct pathologies is crucial for effective treatment strategies.

Area of Science:

Neurosurgery
Vascular Neurology

Context:

Giant intracranial aneurysms (GIAs) are complex vascular lesions.
GIAs pose significant diagnostic and therapeutic challenges in neurosurgery.

Purpose:

To review the terminology, concepts, pathology, pathophysiology, clinical presentation, imaging diagnosis, and treatment of GIAs.
To differentiate between various types of GIAs, including saccular, fusiform, dissecting, and serpentine.

Summary:

Saccular GIAs may arise from congenital lesions with wall reinforcement. Fusiform and dissecting GIAs result from wall layer rupture and share similarities.
Serpentine GIAs are rare, with ongoing debate regarding their formation mechanism.

Impact:

This review provides a comprehensive overview for neurosurgical management of all GIA types.

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Enhanced understanding of GIA subtypes can inform tailored treatment approaches and improve patient outcomes.