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Updated: Feb 27, 2026
18:50
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
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Giant Serpentine Middle Cerebral Artery Aneurysm
Xiao-Xiao Peng1, Ming-Xin Wang, Hong-Xing Li
1*Department of Intensive Care Unit, Shengli Oilfield Central Hospital†Department of Neurosurgery, Shengli Oilfield Central Hospital, Dongying, China.
The Journal of Craniofacial Surgery
|July 11, 2017
Summary
Giant serpentine aneurysms, rare vascular malformations, require prompt treatment. Surgical intervention offers an effective solution for these complex brain aneurysms, improving patient outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Giant serpentine aneurysms are uncommon cerebrovascular lesions.
- They present unique challenges due to their size and morphology.
- Untreated, they carry a significant risk of poor prognosis.
Observation:
- A case of a 38-year-old woman with a giant serpentine aneurysm originating from the right middle cerebral artery is presented.
- The patient experienced progressive headache and declining vision.
- Imaging revealed a large, partially calcified mass in the right frontal-temporal lobe, confirmed as an unruptured, partially thrombosed aneurysm.
Findings:
- Computed tomography angiography demonstrated the aneurysm's serpentine nature and thrombosed components.
- Surgical treatment via craniotomy was performed.
- The patient underwent successful rehabilitation post-operation.
Implications:
- Surgical resection is an effective treatment modality for giant serpentine aneurysms.
- Preoperative assessment, including cerebral angiography and balloon test occlusion, is critical for surgical planning.
- This case highlights the importance of timely diagnosis and intervention for favorable patient outcomes.
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