MANAGEMENT OF A GIANT MIDDLE CEREBRAL-ARTERY FUSIFORM SERPENTINE ANEURYSM WITH DISTAL CLIP APPLICATION AND RETROGRADE THROMBOSIS - CASE-REPORT AND REVIEW OF THE LITERATURE

Giant fusiform aneurysms are rare vascular anomalies that due to their size are often difficult to manage. We describe one such aneurysm tha t was managed with a superficial temporal to middle cerebral artery by pass followed by the application of a single clip just distal to the v ascular dilation. Follow-up angiography has shown aneurysm obliteratio n by the process of retrograde thrombosis.