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Giant serpentine aneurysm. Report of two cases
Journal of Neurosurgery
|January 1, 1977
Summary
Giant middle cerebral artery aneurysms can mimic tumors by causing a mass effect. Surgical resection of these rare vascular lesions yielded excellent clinical outcomes in two reported cases.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Giant aneurysms of the middle cerebral artery are rare vascular malformations.
- They can present atypically, mimicking other intracranial pathologies.
Observation:
- Two cases of giant middle cerebral artery aneurysms presented as mass lesions.
- Angiography demonstrated a serpentine vascular channel with surrounding avascularity, causing a mass effect.
Findings:
- Complete surgical resection (resection in toto) was achieved in both cases.
- Excellent clinical results were obtained postoperatively.
Implications:
- This presentation highlights the importance of considering aneurysms in the differential diagnosis of intracranial mass lesions.
- Understanding the pathophysiology of these aneurysms is crucial for diagnosis and treatment planning.