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Intracranical aneurysm and cerebral embolism
European Neurology
|January 1, 1992
Summary
Intracranial aneurysms can rarely cause embolisms due to thrombus formation. Conservative or surgical treatments were used in three cases with no observed ischemic events during follow-up.
Area of Science:
- Neurology
- Vascular Surgery
- Neurosurgery
Background:
- Intracranial aneurysms are abnormal arterial dilations in the brain.
- Embolism from an intracranial aneurysm, though rare, is a serious complication.
- Thrombus formation within aneurysms is linked to turbulent blood flow and stagnant zones.
Purpose of the Study:
- To present cases of intracranial aneurysms presenting with embolic events.
- To discuss the management and outcomes of such cases.
Main Methods:
- Case series presentation of three patients with intracranial aneurysms.
- Review of clinical presentation, aneurysm characteristics, and treatment strategies.
- Follow-up assessment for ischemic manifestations.
Main Results:
- Three cases of intracranial aneurysms were analyzed.
- Two giant aneurysms (internal carotid, sylvian) and one large middle cerebral artery aneurysm were involved.
- Surgical treatment was chosen for the middle cerebral artery aneurysm; conservative therapy for the others.
- No ischemic manifestations were observed in any patient during follow-up.
Conclusions:
- Embolism is a rare but potential complication of intracranial aneurysms.
- Management strategies, including conservative and surgical options, can be effective.
- Close follow-up is crucial to monitor for ischemic complications.