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Giant and large peripheral cerebral aneurysms treated by parent artery occlusion: angiographic and clinical results and follow-up

Patient No./Sex/Age (y)Clinical OnsetSideAneurysm LocationSizeThrombosisAngiographic AppearanceOcclusion TestComplications After PAOAngio FU (mo)Angio Results: Aneurysm and PAClinical FUmRS FU
1/F/64Mass effect/L arm paresisRMCA, M2 proximalGiantYes, Calcif.Focal dilationNegative18Occlusion6 y 5 mo0
2/F/34HeadacheLMCA, M2 distalLargeFusiformNegative12Occlusion7 y1
3/F/18HeadacheLMCA, M2LargeFusiformNegative20Occlusion6 y 4 mo0
4/M/44HeadacheRMCA, M3LargeFocal dilationNegativeTransient facial palsy17Occlusion4 y 4 mo1
5/F/60Mass effect/visual deficitRACA, A2GiantYesFocal dilationNot performed22Occlusion2 y0
6/M/49HemorrhageLACA, A3GiantFocal dilationNegative18Occlusion4 y 9 mo0
7/F/28HeadacheLPCA, P2–P3GiantYesFocal dilationYes, Angio. testTransient paresthesia and oculomotor paresis24Occlusion5 y 6 mo0
8/M/34HeadacheLPCA, P2–P3GiantYesFocal dilationYes, Angio, test18Occlusion4 y 5 mo0
9/F/25Hemorrhage/L hemiplegiaRPCA, P2 proximalGiantFocal dilationNot performedPartial HH13Occlusion1 y 1 mo2
10/M/50Headache/visual troublesLPCA, P2 distalLargeFocal dilationNot performed18Occlusion3 y1
  • Note:—Angio. indicates angiographic; FU, follow-up; PA, parent artery; R, right; L, left; PAO, parent artery occlusion; HH, homonymous hemianopsia; mRS, modified Rankin scale (0 means no symptoms, 1 minor symptoms, 2 some restriction in lifestyle); Calcif, calcification; MCA, middle cerebral artery; ACA, anterior cerebral artery; PCA, posterior cerebral artery.