Abstract
A 75-year-old female patient received endovascular treatment for a left-hand middle cerebral artery (MCA) bifurcation aneurysm. Crossing Solitaire stents were implanted to reconstruct the MCA bifurcation and allow for a dense coil occlusion of the aneurysm. The patient remained in a structured follow-up program including recurrent treatment sessions. She presented to the referring hospital 7.5 years after the initial treatment. A CT examination as work-up for an episode of disturbed consciousness and impaired articulation showed a massive edema in the left temporal lobe. DSA showed a partial reperfusion of the coiled aneurysm. Only 2 months later, MRI revealed significant growth in the previously treated aneurysm, which now contained a newly formed intraaneurysmal thrombus and a massive perianeurysmal edema. The coils had migrated into the intraaneurysmal thrombus. After repacking the aneurysm and administering steroids as anti-edematous medication, the patient was discharged. Perianeurysmal edema formation is the main topic of this chapter.
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Dukiewicz, M., AlMatter, M., Aguilar Pérez, M., Bäzner, H., Henkes, H. (2020). Middle Cerebral Artery Bifurcation Aneurysm: Incidental Aneurysm of the Middle Cerebral Artery Bifurcation, Treated with Crossing Solitaire Stent-Assisted Coil Occlusion; Aneurysm Growth with Partial Thrombosis and Perianeurysmal Edema During the Long-Term Course. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_153-1
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DOI: https://doi.org/10.1007/978-3-319-70267-4_153-1
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Middle Cerebral Artery Bifurcation Aneurysm: Incidental Aneurysm of the Middle Cerebral Artery Bifurcation, Treated with Crossing Solitaire Stent-Assisted Coil Occlusion; Aneurysm Growth with Partial Thrombosis and Perianeurysmal Edema During the Long-Term Course- Published:
- 02 April 2020
DOI: https://doi.org/10.1007/978-3-319-70267-4_153-2
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Middle Cerebral Artery Bifurcation Aneurysm: Incidental Aneurysm of the Middle Cerebral Artery Bifurcation, Treated with Crossing Solitaire Stent-Assisted Coil Occlusion; Aneurysm Growth with Partial Thrombosis and Perianeurysmal Edema During the Long-Term Course- Published:
- 18 December 2019
DOI: https://doi.org/10.1007/978-3-319-70267-4_153-1