prikaz prve stranice dokumenta Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options
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Scientific paper - Case study
Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options
Acta clinica Croatica, 59 (2020), 3; 532-538. https://doi.org/10.20471/acc.2020.59.03.19
Rotim, Krešimir; Raguž, Marina; Rotim, Ante; Splavski, Bruno; Kalousek, Vladimir

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Rotim, K., Raguž, M., Rotim, A., Splavski, B. & Kalousek, V. (2020). Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options. Acta clinica Croatica, 59. (3), 532-538. doi: 10.20471/acc.2020.59.03.19

Rotim, Krešimir, et al. "Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options." Acta clinica Croatica, vol. 59, no. 3, 2020, pp. 532-538. https://doi.org/10.20471/acc.2020.59.03.19

Rotim, Krešimir, Marina Raguž, Ante Rotim, Bruno Splavski and Vladimir Kalousek. "Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options." Acta clinica Croatica 59, no. 3 (2020): 532-538. https://doi.org/10.20471/acc.2020.59.03.19

Rotim, K., et al. (2020) 'Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options', Acta clinica Croatica, 59(3), pp. 532-538. doi: 10.20471/acc.2020.59.03.19

Rotim K, Raguž M, Rotim A, Splavski B, Kalousek V. Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options. Acta clinica Croatica [Internet]. 2020 [cited 2024 November 01];59(3):532-538. doi: 10.20471/acc.2020.59.03.19

K. Rotim, M. Raguž, A. Rotim, B. Splavski and V. Kalousek, "Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options", Acta clinica Croatica, vol. 59, no. 3, pp. 532-538, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:228822. [Accessed: 01 November 2024]

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Metadata
Title (english)Late Aneurysm Relapse after Microsurgical Treatment of Middle Cerebral Artery Aneurysm: a Case Report and Literature Review of Treatment Options
Title (croatian)Kasni nastanak recidivirajuće aneurizmatske tvorbe nakon mikrokirurškog liječenja aneurizme srednje moždane arterije: prikaz slučaja i pregled literature o mogućnostima liječenja
AuthorKrešimir Rotim
AuthorMarina Raguž
AuthorAnte Rotim
AuthorBruno Splavski https://orcid.org/0000-0002-4483-9364
AuthorVladimir Kalousek
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Recurrence of intracranial aneurysm after initial microsurgical or endovascular treatment is uncommon. Although the exact etiology remains unknown, recurrent aneurysms may be observed in surgical patients with big and multiple aneurysms, arterial hypertension, non-atherosclerotic cerebrovascular arteriopathies, as well as in those with a familial history of the disease. Such recurrence can occur over a wide period ranging from several months to years after the initial aneurysm treatment. Still, the occurrence delayed by more than 20 years is rather unusual. Herein, we present a case of a 70-year-old female patient who developed late intracranial aneurysm relapse 30 years after successful microsurgical clipping of the middle cerebral artery aneurysm. We also provide a brief review of relevant literature, discussing the etiology and pathophysiology of aneurysm reappearance, as well as different treatment options available. In conclusion, one should always consider the possibility of intracranial aneurysm recurrence regardless of the mode and time of primary surgery. In such a case, a multidisciplinary management approach using flow diverting endovascular techniques is advised in selected patients.
Abstract (croatian)
Kasni nastanak recidivirajuće intrakranijske aneurizmatske tvorbe nakon mikrokirurškog liječenja je neuobičajen. Iako točna etiologija ostaje nepoznata, recidiv aneurizme može nastati u kirurških bolesnika s velikim i višekratnim aneurizmama, arterijskom hipertenzijom, neaterosklerotičkom cerebrovaskularnom arteriopatijom, kao i onih s obiteljskom anamnezom u povijesti bolesti. Recidivirajuća se aneurizma može očitovati tijekom dužeg razdoblja, u rasponu od nekoliko mjeseci do nekoliko godina nakon inicijalnog liječenja. Ipak, kasni nastanak aneurizme u vremenu dužem od 20 godina prilično je rijedak. U ovom radu prikazujemo slučaj 70-godišnje bolesnice s recidivirajućom aneurizmom srednje moždane arterije nastalom 30 godina nakon uspješnog mikrokirurškog liječenja. Također donosimo kratak pregled relevantne literature koja govori o etiologiji i patofiziologiji nastanka recidivirajuće aneurizme, kao i o različitim raspoloživim mogućnostima liječenja. Zaključujemo kako uvijek treba voditi računa o mogućnosti nastanka recidivirajuće intrakranijske aneurizme neovisno o načinu liječenja i vremenu proteklom od prvobitnog kirurškog zahvata. U ovakvom se slučaju preporuča multidisciplinarni pristup primjenom metode endovaskularnog preusmjerenog protoka kao najprimjerenije suvremene tehnike u odabranih bolesnika.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 59, no. 3, pp. 532-538
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2020.59.03.19
URN:NBNurn:nbn:hr:220:228822
Publication2020
Document URLhttps://hrcak.srce.hr/247642
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-25 09:21:24