Abstract
BackgroundThe combined approach to complex brain МСА aneurysm seems to be generally considered viable. Although it is fairly common, the combinations of modalities, which are suggested in different case reports, vary significantly. This case discusses a sequential approach of reconstructive microsurgery with internal maxillary-to-middle cerebral artery bypass followed by the balloon test occlusion and endovascular embolization of the aneurysm and the MCA. The combined approach together with use of maxillary artery helped minimize the intraoperative and postoperative complications.Case presentationA 62-year-old female with rare episodes of headache and depression revealed giant middle cerebral artery aneurysm. The patient underwent a combined operation in a hybrid operating room with no serious neurologic deficit after surgery.ConclusionsMultimodality management in a hybrid operating room should be considered in case of complex fusiform aneurysm of MCA, which is associated with high risks of clipping. Thus, the sequential procedures will improve patient outcomes in treatment of complex МСА aneurysms.
Highlights
The combined approach to complex brain МСА aneurysm seems to be generally considered viable
Multimodality management in a hybrid operating room should be considered in case of complex fusiform aneurysm of middle cerebral artery (MCA), which is associated with high risks of clipping
Complex cases of the middle cerebral artery (MCA) aneurysm are the best example of an aneurysm for which either approach rather than a combined one is an unlikely solution
Summary
Multimodality management in a hybrid operating room should be considered in case of complex fusiform aneurysm of MCA, which is associated with high risks of clipping. The sequential procedures will improve patient outcomes in treatment of complex МСА aneurysms
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More From: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
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