Giant serpentine cerebral aneurysms

Evidence-based neurology checklist on giant serpentine cerebral aneurysms: Pathology These are fusiform and partially thrombosed aneurysms They have an eccentric tortuous intra-aneurysmal vascular channel They have a separate outflow tract to distal blood vessels They may arise from degeneration…

Pathology

  • These are fusiform and partially thrombosed aneurysms
  • They have an eccentric tortuous intra-aneurysmal vascular channel
  • They have a separate outflow tract to distal blood vessels
  • They may arise from degeneration of vascular wall of saccular aneurysms

Presentations

Cerebral angiography

References

  1. van Rooij WJ, Sluzewski M, Beute GN. Endovascular treatment of giant serpentine aneurysms. Am J Neuroradiol 2008; 29:1418-1419. 
  2. Kandemirli SG, Cekirge S, Oran I, et al. Intracranial serpentine aneurysms: spontaneous changes of angiographic filling pattern. Am J Neuroradiol 2018; 39:1662-1668. 
  3. Lan J, Fu ZY, Zhang JJ, et al. Giant serpentine aneurysm of the middle cerebral artery. World Neurosurg 2018; 117:109-114.
  4. Dmytriw AA, Alrashed A, Yang VX. Giant intracranial aneurysm water-hammer effect. Pract Neurol 2020; 20:246.

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