Surgical treatment of a gauzoma with associated obliterative arteriopathy and review of the literature
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We report a case of a 50-year-old woman whose 0.5 mm middle cerebral artery (MCA) aneurysm was treated with gauze wrapping at an outside facility. She returned 9 months later with seizures and an inflammatory process in the region of the prior aneurysm. Surgical re-exploration at that time was aborted. Two years later, she presented with a gauzoma associated with local inflammatory response and severe narrowing of the MCA. A common carotid artery to MCA bypass was performed, followed by surgical removal of the gauze and inflammatory material. Over a 3-month period, she recovered with significant improvement in her preoperative neurological deficits.
KeywordsIntracranial aneurysm Microsurgical wrapping Gauzoma Extracranial-intracranial bypass
middle cerebral artery
left posterior communicating artery
magnetic resonance imaging
superior temporal artery
common carotid artery
fluid-attenuated inversion recovery
internal carotid artery
The United Hospital Foundation provided financial support in the form of grant funding. The sponsor had no role in the design of conduct of this research.
Compliance with ethical standards
The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.
Informed consent was obtained from all individual participants included in the study.
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