Recent Advances in Intracranial Aneurysm Treatment

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: 25 May 2025 | Viewed by 1161

Special Issue Editor


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Guest Editor
Department of Neurosurgery, Erasmus MC Stroke Center, Center for Complex Microvascular Surgery, Erasmus MC Rotterdam, Rotterdam, The Netherlands
Interests: intracranial aneurysms; AVMs; cerebrovascular disease; neurosurgery; complex microneurosurgery

Special Issue Information

Dear Colleagues,

The field of intracranial aneurysm treatment is evolving rapidly, both in terms of improving the results of aneurysm obliteration and the safety of treatments, but also in terms of providing a better standard of care for patients with subarachnoid hemorrhage. With the high volume of research being conducted every year in various centers all over the world, it is important to collate the highlights of this research in a Special Issue. There are many unknown questions waiting to be answered, and choosing the right approach for the right patient still remains an elusive, intricate issue. Therefore, I invite you to submit updates in this fascinating area of interest to the forum of open access scientific debate housed within this Special Issue.

Dr. Victor Volovici
Guest Editor

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Keywords

  • intracranial aneurysm
  • cerebrovascular disease
  • microneurosurgery
  • endovascular treatment
  • subarachnoid hemorrhage

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Published Papers (1 paper)

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12 pages, 14144 KiB  
Case Report
Stroke and Pulmonary Thromboembolism Complicating a Kissing Aneurysm in the M1 Segment of the Right MCA
by Corneliu Toader, Felix-Mircea Brehar, Mugurel Petrinel Radoi, Matei Serban, Razvan-Adrian Covache-Busuioc, Ghaith S. Aljboor and Radu Mircea Gorgan
J. Clin. Med. 2025, 14(2), 564; https://doi.org/10.3390/jcm14020564 - 17 Jan 2025
Viewed by 788
Abstract
Background/Objectives: Kissing aneurysms, a rare and intriguing cerebrovascular anomaly, challenge even the most advanced neurosurgical techniques. These lesions, characterized by two intimately apposed aneurysms with shared arterial walls, often masquerade as single, irregular aneurysms. This report documents a case of ruptured kissing aneurysms [...] Read more.
Background/Objectives: Kissing aneurysms, a rare and intriguing cerebrovascular anomaly, challenge even the most advanced neurosurgical techniques. These lesions, characterized by two intimately apposed aneurysms with shared arterial walls, often masquerade as single, irregular aneurysms. This report documents a case of ruptured kissing aneurysms in the M1 segment of the right middle cerebral artery (MCA), complicated by ischemic stroke and pulmonary thromboembolism (PTE)—a convergence of severe complications rarely encountered. The case underscores the importance of precise diagnostics, innovative surgical strategies, and multidisciplinary care. Methods: A 55-year-old female presented with subarachnoid hemorrhage, confirmed by advanced imaging to arise from ruptured kissing aneurysms in the M1 segment of the right MCA. Surgical intervention via a right frontotemporal craniotomy and microsurgical clipping achieved definitive aneurysmal exclusion. Postoperatively, the patient experienced ischemic stroke and PTE, necessitating dynamic adjustments in anticoagulation therapy, intensive care, and rehabilitation protocols. Results: The dual aneurysms were successfully clipped, as confirmed by intraoperative and postoperative imaging. Despite developing significant complications, including left-sided motor deficits and PTE, a carefully orchestrated treatment strategy enabled the patient’s full recovery, with marked neurological and systemic improvement by her three-month follow-up. This favorable outcome highlights the resilience of a multidisciplinary approach in navigating such high-risk scenarios. Conclusions: This case showcases the formidable challenges of managing kissing aneurysms, particularly when compounded by stroke and PTE. It emphasizes the transformative role of cutting-edge imaging and surgical techniques in achieving successful outcomes. By illustrating how precision medicine and collaborative care can overcome rare and complex cases, this report contributes valuable insights to the evolving field of cerebrovascular surgery and postoperative management. Full article
(This article belongs to the Special Issue Recent Advances in Intracranial Aneurysm Treatment)
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