Document Detail


Giant serpentine aneurysms.
MedLine Citation:
PMID:  19409006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Segal and McLaurin first described giant serpentine aneurysms, based on their distinct angiographic features, in 1977. These lesions are >or= 25 mm, partially thrombosed aneurysms with a patent, serpiginous vascular channel that courses through the aneurysm. There is a separate inflow and outflow of the aneurysm, of which the outflow channel supplies brain parenchyma in the territory of the parent vessel. Given the large size, unique neck, and dependent distal vessels, these aneurysms pose a technical challenge in treatment. Initial management has included surgical obliteration, but as endovascular techniques have evolved, treatment options too have expanded. In this review the authors attempt to summarize the existing body of literature on this rare entity and describe some of their institutional management strategies.
Authors:
Lana D Christiano; Gaurav Gupta; Charles J Prestigiacomo; Chirag D Gandhi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgical focus     Volume:  26     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E5     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07101, USA. docmitchel@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Cerebral Arteries / pathology*,  radiography,  surgery*
Cerebral Revascularization / methods,  standards
Diagnostic Imaging / methods,  standards
Embolization, Therapeutic / instrumentation,  methods,  standards
Humans
Intracranial Aneurysm / diagnosis*,  physiopathology,  surgery*
Intraoperative Complications / mortality,  prevention & control
Neurosurgical Procedures / instrumentation,  methods*,  standards
Risk Assessment / methods
Stroke / etiology,  physiopathology,  prevention & control
Vascular Surgical Procedures / instrumentation,  methods*,  standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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