- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
(p. 87) Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- Chapter:
- (p. 87) Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- Author(s):
Robert T. Wicks
and Robert F. Spetzler
- DOI:
- 10.1093/med/9780190887728.003.0010
Abstract: This chapter reviews the diagnosis, preparation, and treatment options for giant middle cerebral artery aneurysms. Despite advancements in the techniques of microneurosurgery and the rapid technological developments in the field of neuroendovascular surgery, giant aneurysms of the middle cerebral artery remain a persistent management challenge. Due to the involvement and relation of multiple branching arteries, endovascular treatment options are often limited. The surgeon and surgical team must be well versed in the techniques of complex clip reconstruction as well as a number of possible variations of bypass options. In addition, they must be prepared with contingency plans for the varying intraoperative and postoperative complications that can occur. These larger aneurysms require both more complex decision-making and higher technical skills to treat successfully.
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- Series Editor’s Preface
- Contributors
- 1 Nonaneurysmal Subarachnoid Hemorrhage
- 2 Blister Aneurysm of the Internal Carotid Artery
- 3 Posterior Communicating Artery Aneurysm Presenting with and without Third Nerve Palsy
- 4 Incidental Anterior Communicating Artery Aneurysm
- 5 Ruptured Anterior Communicating Artery Aneurysm
- 6 Ruptured Middle Cerebral Artery Aneurysm Presenting with Hematoma
- 7 Unruptured Ophthalmic Artery Aneurysm Presenting with Vision Loss
- 8 Small Incidental Internal Carotid Artery Terminus Aneurysm
- 9 Medium-Sized Incidental Anterior Choroidal Artery Aneurysm
- 10 Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
- 11 Ruptured Pericallosal Artery Aneurysm
- 12 Incidental Medium-Sized Basilar Tip Aneurysm
- 13 Wide-Necked Large Ruptured Basilar Tip Aneurysm
- 14 Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
- 15 Symptomatic Cervical Carotid Artery Stenosis
- 16 Asymptomatic Cervical Carotid Stenosis
- 17 Acute Middle Cerebral Artery Occlusion
- 18 Symptomatic Intracranial Arterial Stenosis
- 19 Moyamoya Vasculopathy Presenting with Transient Neurological Deficit
- 20 Cerebral Venous Sinus Thrombosis Presenting with Altered Mental Status
- 21 Incidental Unruptured Arteriovenous Malformation
- 22 Unruptured Eloquent Arteriovenous Malformation Presenting with Seizure
- 23 Unruptured Eloquent Arteriovenous Malformation Presenting with Arm Weakness
- 24 Carotid Cavernous Fistula Presenting with Vision Loss
- 25 Incidental Ethmoidal Dural Arteriovenous Fistula
- 26 Transverse Sinus Arteriovenous Fistula Presenting with Tinnitus
- 27 Large Temporal/Insular Cavernous Malformation Presenting with Headaches
- 28 Small Cavernous Malformation Presenting with Medically Refractory Epilepsy
- 29 Ruptured Brainstem Cavernous Malformation
- 30 Spinal Dural Arteriovenous Fistula Presenting with Myelopathy
- 31 Ruptured Spinal Arteriovenous Malformation
- 32 Ruptured Conus Medullaris Arteriovenous Malformation
- Index
