Acta Neurochirurgica

, Volume 160, Issue 6, pp 1195–1202 | Cite as

Surgical treatment of a gauzoma with associated obliterative arteriopathy and review of the literature

  • Eric S. Nussbaum
  • Kevin M. Kallmes
  • Jodi Lowary
  • Leslie A. Nussbaum
Case Report - Brain Tumors


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.


Intracranial aneurysm Microsurgical wrapping Gauzoma Extracranial-intracranial bypass 



middle cerebral artery


left posterior communicating artery


magnetic resonance imaging


superior temporal artery


common carotid artery


computed tomography


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.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Gillette Hospital Department of NeurosurgeryNational Brain Aneurysm CenterSt PaulUSA
  2. 2.Duke University Law SchoolDurhamUSA

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