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Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache 

Giant Aneurysm of the Middle Cerebral Artery Presenting with Headache
Chapter:
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
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date: 15 April 2021

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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