Thrombosed MCA aneurysm mimicking an insular Cavernous Angioma:a case report and literature review

Author:

Soler-rico Morgane1,Finet Patrice1

Affiliation:

1. Cliniques Universitaires Saint-Luc

Abstract

Abstract Introduction Cerebral cavernous malformations (CCM) can mimic other lesions such as thrombosed aneurysms. Completely thrombosed aneurysms (CTA) are rare, especially in non-giant aneurysms. Case presentation We report a case of 40-year-old man with a presumed insular CCM. A surgery was performed and revealed a thrombotic distal middle cerebral artery (MCA) aneurysm. The treatment consisted in sac incision and partial debulking. We reviewed the cases of thrombotic non-giant CTA and lesions mimicking CCM in the literature. Conclusion Complete radiologic analysis and differential diagnosis remain crucial. For non-giant CTA, there is no clear consensus on their management, but they could be managed conservatively.

Publisher

Research Square Platform LLC

Reference24 articles.

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2. Cho YD, Park JC, Kwon BJ et al. ‘Endovascular treatment of largely thrombosed saccular aneurysms: follow-up results in ten patients’, Neuroradiology, pp. 751–758, 2010.

3. Spallone A, Peresedov VV, Kandel EI. ‘Spontaneous cure of ruptured intracranial arterial aneurysms’, Surg Neurol 1, pp. 367–370, 1981.

4. dos Santos MLT, Spotti AR, dos Santos RMT et al. ‘Giant intracranial aneurysms: morphology and clinical presentation’, Neurosurg Rev, pp. 117–122, 2013.

5. ‘Determination of a shear rate threshold for thrombus formation in intracranial aneurysms’;Ribeiro de Sousa D;J Neurointerv Surg,2016

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