Ruzikulov M Mazhidovich, Kashif Qureshi, Kariev G Maratovich, Rasulov S Orzukulovich, Matmusaev M Makhmudovich, Murtaja Satea, Khazratkulov R Bafoevich, Matmusaev M Makhsudovich, Ismail Bozkurt, Kivanc Yangi, Bipin Chaurasia
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.