Giant serpentine cerebral aneurysms

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Giant serpentine cerebral aneurysms. These are fusiform and partially thrombosed aneurysms. Fully referenced neurology checklist.

Pathology

  • These are fusiform and partially thrombosed aneurysms
  • They have an eccentric tortuous intra-aneurysmal vascular channel
  • They have a separate outflow tract to distal blood vessels
  • They may arise from degeneration of vascular wall of saccular aneurysms

Presentations

Locked: subscribe to see this section.

Cerebral angiography

Locked: subscribe to see this section.

References

  1. van Rooij WJ, Sluzewski M, Beute GN. Endovascular treatment of giant serpentine aneurysms. Am J Neuroradiol 2008; 29:1418-1419. 
  2. Kandemirli SG, Cekirge S, Oran I, et al. Intracranial serpentine aneurysms: spontaneous changes of angiographic filling pattern. Am J Neuroradiol 2018; 39:1662-1668. 
  3. Lan J, Fu ZY, Zhang JJ, et al. Giant serpentine aneurysm of the middle cerebral artery. World Neurosurg 2018; 117:109-114.
  4. Dmytriw AA, Alrashed A, Yang VX. Giant intracranial aneurysm water-hammer effect. Pract Neurol 2020; 20:246.

Related checklists

Loading...