Stent assisted coil embolization for a dissecting cerebral aneurysm of middle cerebral artery: A case report and the literature review.
| Autor: | Shibano A; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan., Sakata J; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan., Fujita A; Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan., Harada T; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan., Okino R; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan., Yamamoto D; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan., Miyake S; Department of Neurosurgery, Kita-Harima Medical Center, Ono, Japan. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical neurology international [Surg Neurol Int] 2023 Oct 20; Vol. 14, pp. 375. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023). |
| DOI: | 10.25259/SNI_619_2023 |
| Abstrakt: | Background: Dissecting aneurysms of the middle cerebral artery (MCA) are very rare. We herein report a case of an unruptured dissecting aneurysm of the MCA treated by stent-assisted coil embolization. Case Description: A 65-year-old man with no history of trauma presented with a headache. Time-of-flight imaging revealed a dissecting cerebral aneurysm in the right M1 segment of the MCA, and the aneurysm had increased in size within a short time. We treated the aneurysm by endovascular stenting with coils, and the patient developed no neurological deficits. Conclusion: Because of the potential involvement of the lenticulostriate artery (LSA) in the area of dissection, choosing the best treatment (such as direct surgery or endovascular treatment) may be challenging. Treatment efficacy depends on whether the LSA is affected and on the length of the dissection. In our case, the dissection did not involve the LSA and could therefore be treated by stent-assisted coil embolization. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.) |
| Databáze: | MEDLINE |
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