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Journal of Korean Neurosurgical Society > Volume 47(5); 2010 > Article
Journal of Korean Neurosurgical Society 2010;47(5): 406-408.
doi: https://doi.org/10.3340/jkns.2010.47.5.406
Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm.
Seong Man Jeong, Shin Hyuk Kang, Nam Joon Lee, Dong Jun Lim
1Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea. djlim@korea.ac.kr
2Department of Radiology, College of Medicine, Korea University, Seoul, Korea.
ABSTRACT
Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.
Key Words: Middle cerebral artery; Fusiform aneurysm; Therapeutic embolization; Stent
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