Successful Application of Extra‐Intracranial Microanastomosis in the Management of Giant Intracranial Aneurysms: A Clinical Case
Ruzikulov M. MazhidovichDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent UzbekistanKashif QureshiDepartment of Neurosurgery Yale School of Medicine New Haven Connecticut USAGayrat KarievDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent UzbekistanRasulov S. OrzukulovichDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent UzbekistanMatmusaev M. MakhmudovichDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent UzbekistanMurtaja Satea ShafeeaDepartment of Neurosurgery College of Medicine, University of Warith Al‐Anbiyaa Holy Karbala IraqKhazratkulov R. BafoevichDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent UzbekistanMaruf MatmusaevDepartment of Neurosurgery Republican Specialized Scientific and Practical Medical Center of Neurosurgery Tashkent Uzbekistanİsmail BozkurtDepartment of Neurosurgery Medical Park Ankara Hospital Ankara TürkiyeKıvanç YangıDepartment of Neurosurgery Barrow Neurological Institute Phoenix Arizona USABipin ChaurasiaDepartment of Neurosurgery Neurosurgery Clinic Birgunj Nepal
2026en
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We report a case of a giant middle cerebral artery aneurysm treated with a staged strategy: initial extracranial-intracranial revascularization via superficial temporal artery-M4 bypass, followed by definitive endovascular aneurysm exclusion with detachable microcoil embolization. This technique allowed preservation of cerebral blood flow and successful treatment of the aneurysm.
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