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[Brain aneurysms: an infrequent cause of transient ischemic stroke]
A Gómez-Sierra1, C Pérez-López, M Budke
1Servicio de Neurocirurgía, Hospital Universitario La Paz, Madrid, España. agomez.hulp@salud.madrid.org
Introduction:
Ischemic symptomatology related to the presence of saccular brain aneurysms is infrequent, and this makes it difficult to reach a widespread agreement about the most suitable treatment.
Case Report:
A 17-year-old male with symptoms of little stroke produced by distal embolisation of an aneurysm in the middle cerebral artery. The patient was treated by endovascular aneurysm exclusion.
Conclusions:
In patients with no other identifiable cause of ischemic attacks, the possible presence of a brain aneurysm must be taken into account. First choice treatment is the obliteration of the aneurysm using endovascular techniques. If the approach to the aneurysm (either endovascular or surgical) entails a high risk for the patient, another possibility is to use antiplatelet drugs.