Intracranial Serpentine Aneurysms: Spontaneous Changes of Angiographic Filling Pattern


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Kandemirli S. G. , ÇEKİRGE S., Oran I. , Saatci I., Kizilkilic O., ÇİNAR C. , ...More

AMERICAN JOURNAL OF NEURORADIOLOGY, vol.39, no.9, pp.1662-1668, 2018 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 9
  • Publication Date: 2018
  • Doi Number: 10.3174/ajnr.a5746
  • Title of Journal : AMERICAN JOURNAL OF NEURORADIOLOGY
  • Page Numbers: pp.1662-1668

Abstract

BACKGROUND AND PURPOSE: Serpentine aneurysms are partially thrombosed aneurysms with an eccentrically located tortuous intra-aneurysmal vascular channel. The large size, distinctive neck anatomy, and supply of the brain parenchyma by the outflow tract pose technical challenges in treatment. The aim of this study was to discuss the endovascular treatment results and illustrate the dynamic nature of serpentine aneurysms. Spontaneous transformation of saccular and fusiform aneurysms into serpentine morphology, along with a case of serpentine-into-fusiform aneurysm transformation during follow-up, is presented.