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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
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Multiple peripheral middle cerebral artery aneurysms associated with Behcet's disease

Y Kaku1, J-I Hamada, J-I Kuroda

  • 1Department of Neurosurgery, School of Medicine, Kumamoto University, Kumamoto, Japan.

Acta Neurochirurgica
|June 23, 2007
PubMed

We report a 19-year-old woman with Behcet's disease who suffered a subarachnoid hemorrhage and had bilateral peripheral middle cerebral artery aneurysms. After steroid therapy for 3 days, the smaller aneurysm disappeared. The larger aneurysm was excised and the artery reconstructed using a superficial temporary artery graft. Histological examination showed vasculitis restricted to the wall of the aneurysm. This is the first report of arterial reconstruction for an aneurysm associated with Behcet's disease. Steroid therapy before the operation may facilitate repair of the arterial wall.

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