Open AccessSerpentine Aneurysm
Author(s) -
Alberto Isla,
Fernándo Álvarez,
Roda Jm,
Jesús Escrivá Muñoz,
Carmen Morales,
García Blazquez M
Publication year - 1994
Publication title -
neurosurgery/neurosurgery online
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/00006123-199406000-00019
Subject(s) - medicine , aneurysm , ligature , anastomosis , ligation , middle cerebral artery , computed tomographic , internal carotid artery , radiology , carotid arteries , surgery , computed tomography , ischemia , cardiology
Giant serpentine aneurysms (GSAs) are infrequent. We present a 37-year-old patient with a giant serpentine aneurysm of the left middle cerebral artery that was treated with a superficial temporal artery to middle cerebral artery bypass and ligature of the left internal carotid artery. After 2 years, the patient presented new symptoms of neurological deterioration and the computed tomographic scan and arteriography showed regrowth of the aneurysm, which was excised. Enlargement of a giant serpentine aneurysm once it has been treated with ipsilateral carotid ligation and/or bypass anastomosis is rare, and only two cases have been described previously.