Rupture of a Previously Unruptured Giant Middle Cerebral Artery Aneurysm after Extracranial-Intracranial Bypass Surgery

Neurosurgery ◽  
1982 ◽  
Vol 10 (5) ◽  
pp. 600-603 ◽  
Author(s):  
R. Michael Scott ◽  
Hsiu-Chih Liu ◽  
Robert Yuan ◽  
Lester Adelman
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Bypass Surgery ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Aneurysm Surgery ◽  
Middle Cerebral Artery Aneurysm ◽  
Fatal Hemorrhage ◽  
Cerebral Artery Aneurysm ◽  
Direct Attack

Abstract The fatal rupture of a previously unruptured giant middle cerebral artery aneurysm occurred 13 days after an extracranial-intracranial bypass had been carried out, before definitive aneurysm surgery. Alterations in blood flow adjacent to the aneurysm after the bypass may have led to the fatal hemorrhage. After a preliminary extracranial-intracranial bypass procedure, there should be no undue delay in the direct attack on a giant aneurysm, regardless of its mode of presentation.

scholarly journals Transient Augmentation of Intraoperative Motor Evoked Potentials During Middle Cerebral Artery Aneurysm Surgery

2019 ◽  
Vol 130 ◽  
pp. e127-e132
Author(s):  
Pritam Gurung ◽  
Yasushi Motoyama ◽  
Tsunenori Takatani ◽  
Yoshiaki Takamura ◽  
Yasuhiro Takeshima ◽  
...  
Keyword(s):  
Evoked Potentials ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Motor Evoked Potentials ◽  
Artery Aneurysm ◽  
Aneurysm Surgery ◽  
Middle Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

scholarly journals Middle cerebral artery aneurysm surgery after stent misplacement: A case report

2015 ◽  
Vol 22 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Abdul Rahman Al-Schameri ◽  
Manuel Lunzer ◽  
Cornelia Daller ◽  
Michael Kral ◽  
Monika Killer
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Surgery ◽  
Middle Cerebral Artery Aneurysm ◽  
Surgical Clipping ◽  
Increased Risk ◽  
Mca Aneurysm ◽  
Cerebral Artery Aneurysm

Stent misplacement during endovascular treatment of middle cerebral artery (MCA) aneurysms can cause challenges and be problematic, if clipping becomes necessary. This article reports on a 56-year-old woman with an unruptured, multi-lobulated MCA aneurysm, whom primarily refused surgery; therefore, she was scheduled for stent-assisted coiling. After successful deployment of the stent, it unfortunately then became snagged by the microcatheter and was pulled backwards. The subsequent surgical procedure (i.e. clipping of the MCA aneurysm) was challenging, due to the position of the dislodged stent. Such as misplacement of the stent is rarely documented: It resulted in the difficult handling of a MCA aneurysm. Aneurysms of the MCA should primarily be considered for surgical clipping. In conclusion, an increased risk for eventual surgery should be considered, in cases where endovascular treatments with stents are performed.

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