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Fig. 10 |

Fig. 10

From: 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

Fig. 10Fig. 10

Long-term follow-up 7.5 years after the initial endovascular treatment of a wide-necked left MCA bifurcation aneurysm. The patient was symptomatic with a transient episode of disturbed consciousness and impaired articulation. CT (a) showed a massive edema of the left temporal lobe and DSA (b) revealed an increased reperfusion of the coiled aneurysm between the coil loops. Only 2 months later, the aneurysm sac had increased to a maximum diameter of 36 mm (c), the edema had also increased (d), and there was an intense contrast enhancement of the aneurysm wall (e). The coil loops had migrated into the thrombus within a short period and a lumen with a spherical shape had reperfused (f, g)

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