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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 09(01): 58-62
DOI: 10.1055/s-0039-3402537
Case Report

Giant Serpentine Internal Carotid Artery Aneurysm with Complex Aortic and Supra-aortic Vascular Anatomy: Endovascular Treatment through Direct Percutaneous Carotid Puncture

Sibasankar Dalai
1   Seven Hills Hospital, Rockdale Layout, Visakhapatnam, Andhra Pradesh, India
,
Uday Limaye
2   Leelavathi Hospital, Bandra West, Mumbai, Maharashtra, India
,
R. V. Narayana
1   Seven Hills Hospital, Rockdale Layout, Visakhapatnam, Andhra Pradesh, India
,
Guru Prasad
2   Leelavathi Hospital, Bandra West, Mumbai, Maharashtra, India
,
Rajesh Pati
1   Seven Hills Hospital, Rockdale Layout, Visakhapatnam, Andhra Pradesh, India
,
Sunanda Anand
2   Leelavathi Hospital, Bandra West, Mumbai, Maharashtra, India
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Abstract

Giant serpentine aneurysm (GSA) with rare aortic and supra-aortic vascular anomaly is technically difficult to treat. Often such patients suffer without treatment. We have treated a patient by a different approach which is not regularly followed. This case has many developmental anomalies with complicated anatomy, and it is a challenge to the treating interventionist.

Keywords

serpentine aneurysm - embolization - direct carotid puncture


Publication History

Article published online:
06 February 2020

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  • References

  • 1 Segal HD, McLaurin RL. Giant serpentine aneurysm. Report of two cases. J Neurosurg 1977; 46 (01) 115-120
    CrossrefPubMedGoogle Scholar
  • 2 Aletich VA, Debrun GM, Monsein LH, Nauta HJ, Spetzler RF. Giant serpentine aneurysms: a review and presentation of five cases. Am J Neuroradiol 1995; 16 (05) 1061-1072
    PubMedGoogle Scholar
  • 3 van Rooij WJ, Sluzewski M, Beute GN. Endovascular treatment of giant serpentine aneurysms. Am J Neuroradiol 2008; 29 (07) 1418-1419
    CrossrefPubMedGoogle Scholar
  • 4 Park JS, Lee MS, Kim MS, Kim DJ, Park JW, Whang K. Giant serpentine intracranial aneurysm: a case report. Korean J Radiol 2001; 2 (03) 179-182
    CrossrefPubMedGoogle Scholar
  • 5 Day AL, Gaposchkin CG, Yu CJ, Rivet DJ, Dacey Jr. RG. Spontaneous fusiform middle cerebral artery aneurysms: characteristics and a proposed mechanism of formation. J Neurosurg 2003; 99 (02) 228-240
    Google Scholar
  • 6 Suzuki S, Takahashi T, Ohkuma H, Shimizu T, Fujita S. Management of giant serpentine aneurysms of the middle cerebral artery–review of literature and report of a case successfully treated by STA-MCA anastomosis only. Acta Neurochir (Wien) 1992; 117 (1-2) 23-29
    CrossrefPubMedGoogle Scholar
  • 7 Tomasello F, Albanese V, Cioffi FA. Giant serpentine aneurysms: a separate entity. Surg Neurol 1979; 12 (05) 429-432
    PubMedGoogle Scholar
  • 8 Fodstad H, Liliequist B, Wirell S, Nilsson PE, Boquist L, Abdul-Rahman A.. Giant serpentine intracranial aneurysm after carotid ligation. Case report. J Neurosurg 1978; 49 (06) 903-909
    CrossrefPubMedGoogle Scholar
  • 9 Belec L, Cesaro P, Brugieres P, Gray F. Tumor-simulating giant serpentine aneurysm of the posterior cerebral artery. Surg Neurol 1988; 29 (03) 210-215
    CrossrefPubMedGoogle Scholar
  • 10 Vishteh AG, Spetzler RF. Evolution of a dolichoectatic aneurysm into a giant serpentine aneurysm during long-term follow up. Case illustration. J Neurosurg 1999; 91 (02) 346
    PubMedGoogle Scholar
  • 11 Haddad GF, Haddad FS. Cerebral giant serpentine aneurysm: case report and review of the literature. Neurosurgery 1988; 23 (01) 92-97
    CrossrefPubMedGoogle Scholar
  • 12 Albrecht S, Kahn HJ. Immunohistochemistry of intravascular papillary endothelial hyperplasia. J Cutan Pathol 1990; 17 (01) 16-21
    CrossrefPubMedGoogle Scholar
  • 13 Chen TJ, Kuo T. Giant intracranial Masson’s hemangioma. Report of a fatal case. Arch Pathol Lab Med 1984; 108 (07) 555-556
    PubMedGoogle Scholar
  • 14 Christiano LD, Gupta G, Prestigiacomo CJ, Gandhi CD. Giant serpentine aneurysms. Neurosurg Focus 2009; 26 (05) E5
    PubMedGoogle Scholar