Abstract
A 43-year-old male presented with severe intermittent headaches since two years accompanied by multiple episodes of generalized seizures and left hand weakness. MRI scan and cerebral angiography confirmed the diagnosis of a giant serpentine cerebral aneurysm arising from the middle cerebral artery. The patient was admitted for a possible cerebral embolization after undergoing a Balloon Occlusion Test (BOT). Since he tolerated the occlusion test, he underwent coil embolization afterwards with successful occlusion followed by an uneventful recovery and no complications. Later on, the patient was discharged home in a stable and good general condition without any neurological deficits. A six-month angiography follow-up revealed a complete occlusion with no re-canalization of the coiled giant serpentine aneurysm. Therefore, we concluded that parent artery occlusion is a good and safe procedure providing that the patient tolerated both the occlusion and the hemodynamic stress tests.
Highlights
Giant Serpentine Aneurysms (GSAs) are extremely rare aneurysms with unique radiological and pathological features [1]
Magnetic Resonance Imaging (MRI) scan and cerebral angiography confirmed the diagnosis of a giant serpentine cerebral aneurysm arising from the middle cerebral artery
Patients with Giant Serpentine Aneurysms may complain of headache, seizures, upper or lower limbs weakness and many other symptoms depending on the location of the aneurysm, which usually occurs in the Middle Cerebral Artery (MCA) [7] [8]
Summary
Giant Serpentine Aneurysms (GSAs) are extremely rare aneurysms with unique radiological and pathological features [1]. Patients with Giant Serpentine Aneurysms may complain of headache, seizures, upper or lower limbs weakness and many other symptoms depending on the location of the aneurysm, which usually occurs in the Middle Cerebral Artery (MCA) [7] [8]. These clinical features combined with the Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) results can be mistaken for cerebral neoplasms.
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