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[Lenticulostriate aneurysms. Radioclinical study]

P Lehmann1, P Toussaint, C Depriester

  • 1Service de Neuroradiologie A, CHU Amiens, place Victor Pauchet, 80054 Amiens Cedex.

Journal of Neuroradiology = Journal De Neuroradiologie
|April 30, 2003
PubMed

Insights

This study details four cases of lenticulostriate artery aneurysms, a rare condition in young patients. Conservative management is recommended due to treatment challenges and spontaneous thrombosis risk.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Radiology

Background:

  • Lenticulostriate artery aneurysms are rare cerebrovascular pathologies.
  • They often present in young individuals with symptoms like meningeal syndrome or focal neurological deficits.

Observation:

  • Four cases are presented: three idiopathic and one associated with MoyaMoya disease.
  • Hemorrhage is detected via non-contrast CT or MRI, aiding in assessing its impact.
  • Arteriography or MRA are crucial for diagnosing the aneurysm and ruling out vascular malformations.

Findings:

  • The study reviews 15 published cases alongside their own experience.
  • Surgical or endovascular approaches are often challenging.
  • Spontaneous thrombosis of these aneurysms occurs with notable frequency.

Implications:

  • Conservative management appears justified for lenticulostriate artery aneurysms after thorough etiological investigation.
  • Radio-clinical monitoring is essential for patients undergoing conservative treatment.
  • Further research into optimal management strategies for this rare condition is warranted.

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