Sequential approach of internal maxillary-to-middle cerebral artery bypass and endovascular occlusion for giant middle cerebral artery aneurysm: a case report

Abstract Background The combined approach to complex brain ??? aneurysm seems be generally considered viable. Although it is fairly common, the combinations of modalities, which are suggested in different case reports, vary significantly. This discusses a sequential reconstructive microsurgery with internal maxillary-to-middle cerebral artery bypass followed by balloon test occlusion and endovascular embolization MCA. together use maxillary helped minimize intraoperative postoperative complications. Case presentation A 62-year-old female rare episodes headache depression revealed giant middle aneurysm. patient underwent operation hybrid operating room no serious neurologic deficit after surgery. Conclusions Multimodality management should fusiform MCA, associated high risks clipping. Thus, procedures will improve outcomes treatment aneurysms.