Basilar Top Unruptured Aneurysm Treated by GDC Embolization with Temporary Balloon Occlusion: A Case Report

概要

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Endovascular embolization of the cerebral aneurysms has been established as one strategy of treatment. With the advent of Guglielmi detachable coils (GDC), endovascular embolization has been performed for safety. Some aneurysms, however, are is difficult to treat by either surgical operation or endovascular technique because of wideneck or other reasons. In those cases,"neck plasty"(temporary balloon occlusion) is a useful alternative method.<BR>We present such a case of aneurysm and treatment by neck plasty and review previous cases treated with the same procedure.<BR>A 66-year-old woman had a headache and visited a nearby hospital, where a basilar top unruptured aneurysm was diagnosed by CT scan, MRI and cerebral angiogram. She was referred to our department and admitted. She was treated by endovascular embolization using GDC with temporary balloon occlusion. This treatment was performed uneventfully. She was discharged without neurological deficits. Three months after embolization, a follow up angiogram showed complete occlusion.
The Japanese Society on Surgery for Cerebral Strokeの論文