Giant fusiform aneurysm of the middle cerebral artery: successful Hunterian ligation without distal bypass

Citation
M. Al-yamany et Ib. Ross, Giant fusiform aneurysm of the middle cerebral artery: successful Hunterian ligation without distal bypass, BR J NEUROS, 12(6), 1998, pp. 572-575
Citations number
18
Categorie Soggetti
Neurology
Journal title
BRITISH JOURNAL OF NEUROSURGERY
ISSN journal
02688697 → ACNP
Volume
12
Issue
6
Year of publication
1998
Pages
572 - 575
Database
ISI
SICI code
0268-8697(199812)12:6<572:GFAOTM>2.0.ZU;2-R
Abstract
Giant fusiform aneurysm is a rare vascular lesion which presents difficult management issues. We describe one such aneurysm in a middle cerebral arter y branch (M-2) that presented with subarachnoid haemorrhage and was managed operatively. Clinical, radiological and pathological presentations, as wel l as the different treatment options for this type of aneurysm are discusse d based on a literature review. A satisfactory result in an Mt giant fusifo rm aneurysm can be achieved with Hunterian ligation of the parent vessel ev en when a distal EC-IC bypass is not possible.