Skip to main content
SpringerLink
Log in

Management of giant serpentine aneurysms of the middle cerebral artery — Review of literature and report of a case successfully treated by STA-MCA anastomosis only

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Thirty-eight cases of giant serpentine aneurysms (GSA), including 17 GSA of the middle cerebral artery (MCA), were reviewed in the literature. The treatment possibilities of GSA of the MCA are discussed together with our own case who was a 39-year-old male with a GSA of the right MCA and was treated only by STA-MCA anastomosis. The pathogenetic mechanism of progressive enlargement of the aneurysm is also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ammerman BJ, Smith DR (1977) Giant fusiform middle cerebral aneurysm: successful treatment utilizing microvascular bypass. Surg Neurol 7: 255–257

    PubMed  Google Scholar 

  2. Batjer HH, Purdy PD (1990) Enlarging thrombosed aneurysm of the distal basilar artery. Neurosurgery 26: 695–700

    PubMed  Google Scholar 

  3. Belec L, Cesaro P, Brugieres P, Gray F (1988) Tumour-simulating giant serpentine aneurysm of the posterior cerebral artery. Surg Neurol 2: 210–215

    Google Scholar 

  4. Byrd SE, Bentson JR, Winter J, Wilson GH, Joyce PW, O'Connor L (1978) Giant intracranial aneurysms simulating brain neoplasms on computed tomography. J Comput Assist Tomogr 39: 317–319

    Google Scholar 

  5. Cantu RC, LeMay M (1966) A large middle cerebral aneurysm presenting as a bizzare vascular malformation. Br J Radiol 39: 317–319

    PubMed  Google Scholar 

  6. Castleman B, Kibbee BU (1963) Case records of the Massachusetts General Hospital. Case 22-1963. N Engl J Med 268: 724–731

    Google Scholar 

  7. Chang HS, Fukushima T, Takakura K, Shimizu T (1986) Aneurysms of the posterior cerebral artery: report of ten cases. Neurosurgery 19: 1006–1011

    PubMed  Google Scholar 

  8. Cuatico W, Cook AW, Tyshchenko V, Khatib R (1967) Massive enlargement of intracranial aneurysms following carotid ligation. Arch Neurol 17: 609–613

    PubMed  Google Scholar 

  9. Ecker A, Riemenschneider P (1951) Deliberate thrombosis of intracranial arterial aneurysm by partial occlusion of the carotid artery with arteriographic control. Preliminary report of a case. J Neurosurg 8: 348–353

    PubMed  Google Scholar 

  10. Fodstad H, Liliequist B, Wirell S, Nilsson P, Boquist L, Rahman AA (1978) Giant serpentine intracranial aneurysm after carotid ligation. J Neurosurg 49: 903–909

    PubMed  Google Scholar 

  11. Fujii K, Fukui M, Matsubara T, Nagata S, Fujiwara S, Matsushima T, Hasuo K (1989) Microsurgical procedures for management of giant middle cerebral aneurysm causing increased intracranial pressure. Surg Neurol 32: 366–371

    PubMed  Google Scholar 

  12. Fukamachi A, Hirato M, Wakao T, Kawafuchi J (1982) Giant serpentine aneursym of the posterior cerebral artery. Neurosurgery 11: 271–276

    PubMed  Google Scholar 

  13. Haddad GF, Haddad FS (1988) Cerebral giant serpentine aneurysm: case report and review of the literature. Neurosurgery 23: 92–97

    PubMed  Google Scholar 

  14. Ken I, Kuyama H, Nishino S, Shirakawa T, Nishimoto A (1991) A case of enlargement of the giant internal carotid aneurysm following common carotid ligation. Jpn J Stroke 13: 132–138

    Google Scholar 

  15. Kahn MT, McKinstry CS, Bell KE, Fannin TF, Byrnes DP, Vasishta R (1990) Serpentine aneurysm of the posterior circulation: report of two cases. Br J Neurosurg 4: 217–223

    PubMed  Google Scholar 

  16. Koshikawa N, Kamio M, Sekino H, Nakamura N, Mochio S, Jo K, Komori R (1980) Giant aneurysm—a case report with review of literature. No Shinkei Geka (Tokyo) 8: 79–88

    Google Scholar 

  17. Kumabe T, Kaneko U, Ishibashi T, Kaneko K, Uchigasaki S (1990) Two cases of giant serpentine aneurysm. Neurosurgery 26: 1027–1033

    PubMed  Google Scholar 

  18. Kuwabara S, Ohta K, Ueda T, Takahashi M (1981) Giant aneurysms of the bilateral vertebral arteries with serpentine vascular channels. A case report. No To shinkei (Tokyo) 33: 1227–1234

    Google Scholar 

  19. Li Z, Hua Z, Su Z (1988) Giant serpentine intracranial aneurysm. A case report. China Med J [Engl] 101: 55–57

    Google Scholar 

  20. Lukin RR, Chambers AA, McLaurin R, Tew JJr (1975) Thrombosed giant cerebral aneurysms. Neuroradiology 10: 125–129

    PubMed  Google Scholar 

  21. Matsumoto M, Miura N, Takizawa T, Yasuma T, Masuzawa H, Tsukamoto Y, Hashizume K (1971) Large aneurysm of the vertebro-basilar system: report of a case and diagnostic review of the cases in literatures. No To Shinkei (Tokyo) 23: 457–469

    Google Scholar 

  22. Morley TP, Barr HWK (1968) Giant intracranial aneurysms: Diagnosis, course, and management. Clin Neurosurg 16: 73–94

    Google Scholar 

  23. Nishizaki T, Tamaki N, Shirakuni T, Hoshoda K, Matsumoto S (1986) Giant serpentine aneurysm: experience of two cases and its radiological features. Jpn J Clin Radiol 31: 309–312

    Google Scholar 

  24. Patel DV, Shermen IC, Hemmati M, Ferguson RJ (1981) Giant serpentine intracranial aneurysm. Surg Neurol 16: 402–407

    PubMed  Google Scholar 

  25. Pinto RS, Kricheff I, Butler A, Murali R (1979) Correlation of computed tomographic, angiographic, and neuropathological changes in giant cerebral aneurysms. Radiology 132: 85–92

    PubMed  Google Scholar 

  26. Sadik AR, Budzilovich GN, Shulman K (1965) Giant aneurysm of middle cerebral artery. A case report. J Neurosurg 22: 177–181

    PubMed  Google Scholar 

  27. Segal HD, McLaurin RL (1977) Giant serpentine aneurysm. Report of two cases. J Neurosurg 46: 115–120

    PubMed  Google Scholar 

  28. Steimle R, Jacquet G, Cotte-Rittaud M, Pajgeaut G, Bonneville JF, Bazzak AA (1977) Volumineux anévrisme pseudo-tumoral partiellement thrombosé du territorie de la sylvienne. Neurochirurgie 23: 73–80

    PubMed  Google Scholar 

  29. Steven JL (1950) Central thrombosis in an intracranial aneurysm. Br J Radiol 23: 614–615

    PubMed  Google Scholar 

  30. Terada Y, Tomita K, Shinoda T, Ino Y, Yoshiyama N (1988) Giant serpentine aneurysm in a long-term hemodialysis patient. Clin Nephrol 30: 164–167

    PubMed  Google Scholar 

  31. Terao H, Muraoka I (1972) Giant aneurysm of the middle cerebral artery containing an important blood channel. Case report. J Neurosurg 37: 352–356

    PubMed  Google Scholar 

  32. Tomasello F, Albanese V, Cioffi FA (1979) Giant serpentine aneurysms: a separate entity. Surg Neurol 12: 429–432

    PubMed  Google Scholar 

  33. Vlahovitch B, Fuentes JM, Reynaud C, Benbouzid T, Mazariegos R (1985) Série de 17 cas d' anévrysmes géants intracraniens. Suites chirurgicales éloignées et effets hémodynamiques des occlusions artérielles. Neurochirurgie 31: 255–263

    PubMed  Google Scholar 

  34. Whittle IR, Dorsch NW, Besser M (1982) Spontaneous thrombosis in giant intracranial aneurysms. J Neurol Neurosurg Psychiatry 45: 1040–1047

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Hirosaki University School of Medicine, Hirosaki, Japan

    S. Suzuki, T. Takahashi, H. Ohkuma, T. Shimizu & S. Fujita

Authors
  1. S. Suzuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Takahashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Ohkuma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Shimizu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. Fujita
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suzuki, S., Takahashi, T., Ohkuma, H. et al. Management of giant serpentine aneurysms of the middle cerebral artery — Review of literature and report of a case successfully treated by STA-MCA anastomosis only. Acta neurochir 117, 23–29 (1992). https://doi.org/10.1007/BF01400630

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01400630

Keywords

Search

Navigation