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[Giant intracranial aneurysm].

M Czochra, S Kamiński, A Muszyński

    Neurologia I Neurochirurgia Polska
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    A giant left internal carotid artery aneurysm caused increased intracranial pressure and hydrocephalus. Surgical intervention, including Holter

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    Area of Science:

    • Neurosurgery
    • Vascular Neurology
    • Neuroradiology

    Background:

    • Giant intracranial aneurysms (GIAs) are rare cerebrovascular lesions, often presenting with mass effect and neurological deficits.
    • Increased intracranial pressure (ICP) and hydrocephalus can occur due to mass effect from large aneurysms.
    • Management of GIAs requires careful consideration of anatomical location, associated complications, and patient factors.

    Observation:

    • A case of a giant aneurysm of the left internal carotid artery is presented.
    • The patient exhibited predominant signs of raised intracranial pressure.
    • Internal hydrocephalus was a significant complication, necessitating intervention.

    Findings:

    • A Holter's valve was implanted to manage the internal hydrocephalus.

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  • The giant aneurysm was successfully excluded from circulation using vessel trapping.
  • This combined approach resulted in a favorable therapeutic outcome.

    • Implications:

    • This case highlights the successful management of a complex giant intracranial aneurysm with obstructive hydrocephalus.
    • Vessel trapping can be an effective strategy for excluding large internal carotid artery aneurysms.
    • Multidisciplinary neurosurgical and endovascular approaches may be necessary for optimal GIA treatment.