Giant serpentine aneurysms

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dc.contributor.author Mawad, Michel E.
dc.contributor.author Klucznick, Richard P.
dc.date.accessioned 2019-07-08T11:23:56Z
dc.date.available 2019-07-08T11:23:56Z
dc.date.copyright 1995 en_US
dc.date.issued 2019-07-08
dc.identifier.issn 1936-959X en_US
dc.identifier.uri http://hdl.handle.net/10725/11001
dc.description.abstract PURPOSE To describe the characteristic CT, MR, and angiographic features of giant serpentine aneurysms and discuss their endovascular treatment. METHODS Thirteen patients with giant serpentine aneurysms were studied at our institution in the last 3 years. They all underwent CT and MR studies as well as cerebral angiography. More recently, some of the patients were studied with MR angiography. Seven patients had endovascular occlusion of the giant serpentine aneurysms, 3 with N-butyl cyanoacrylate, 2 with Guglielmi detachable coils, and 2 with detachable balloons. RESULTS Giant serpentine aneurysms mimic cerebral neoplasms on CT and MR studies; they are often associated with mass effect and adjacent edema, and they enhance with contrast medium. The cerebral angiogram shows a residual irregular lumen of the partially clotted aneurysm, which continues into normal branches supplying the distal arterial territory. Six patients were treated successfully with an endovascular approach consisting of complete and permanent occlusion of the parent artery. CONCLUSION Giant serpentine aneurysms from a subgroup of large intracranial aneurysms that have specific CT, MR, and angiographic features, which should be recognized before their treatment. The endovascular treatment of the aneurysm consists of permanent occlusion of the parent artery. en_US
dc.language.iso en en_US
dc.title Giant serpentine aneurysms en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle radiographic features and endovascular treatment en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Neuroradiology en_US
dc.journal.volume 16 en_US
dc.journal.issue 5 en_US
dc.article.pages 1053-1060 en_US
dc.identifier.ctation Mawad, M. E., & Klucznik, R. P. (1995). Giant serpentine aneurysms: radiographic features and endovascular treatment. American journal of neuroradiology, 16(5), 1053-1060. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.ajnr.org/content/16/5/1053.short en_US
dc.author.affiliation Lebanese American University en_US

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