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Peruvian Journal of Neurosurgery
Embolization of ruptured giant aneurysm of the medium cerebral artery followed by surgical evacuation of intracerebral hematoma
JOSÉ LUIS URQUIZO R, RODOLFO RODRÍGUEZ V, WALTER DURAND C, RICARDO VALLEJOS T, DANTE VALER G, JESÚS FLORES Q, GIANCARLO SAAL Z.
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ABSTRACT
Introduction: Early endovascular therapy of a ruptured giant aneurysm associated with intracerebral hematoma avoids the need for clipping of the aneurysm, thereby avoiding the need for greater brain retraction, edema, transient clipping, as well as the possibility of intraoperative rupture, thus achieving timely and adequate management of this pathology.
Clinical case: We present the case of a 48-year-old woman with subarachnoid hemorrhage (SAH) and intracerebral hematoma (ICH) due to dysplastic giant aneurysm of the right middle cerebral artery bifurcation (MCA) who was treated by coils embolization followed by microsurgical evacuation of the hematoma achieving a good result and a favorable clinical outcome.
Conclusion: The combined treatment by embolization with coils of a giant ruptured aneurysm of the MCA followed by the microsurgical evacuation of the ICH during the acute phase is an effective and safe alternative to single surgical management.
Keywords: Aneurysm Ruptured, Subarachnoid Hemorrhage, Hematoma, Embolization Therapeutic. (Source: MeSH NLM)
