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Multiple fusiform cerebral aneurysms - case report
Katarzyna Jaworska1, Joanna Dołowy, Małgorzata Kuśmierska
1Department of Medical Radiology and Diagnostic Imaging, 4 Military Clinical Hospital with the Polyclinic in Wrocław, Wrocław, Poland.
Polish Journal of Radiology
|July 18, 2012
Summary
This case report details a rare instance of multiple fusiform cerebral dilations and a giant internal carotid artery aneurysm. Asymmetric aneurysm location suggests acquired causes like atherosclerosis.
Area of Science:
- Vascular Neurology
- Neuroradiology
- Cerebrovascular Diseases
Background:
- Cerebral aneurysms are arterial dilations resulting from vascular wall abnormalities, weakening the mechanical resistance.
- Pathophysiologically, they are classified as saccular (common) or other types, including fusiform, dissecting, and mycotic aneurysms.
Observation:
- A rare case of multiple fusiform cerebral vessel dilations and a giant fusiform aneurysm in the supraclinoid internal carotid artery is presented.
- The patient experienced sudden vertigo, nausea, balance impairment, and disturbed vision.
- Vascular anomalies were identified via non-contrast CT, CT angiography, MRI, and cerebral angiography.
Findings:
- Intracranial aneurysms are common brain vascular defects with variable size, number, and location.
- Symmetrical aneurysm locations may indicate inherent vascular structure defects.
- Asymmetric aneurysm locations, as seen in this patient, are more likely associated with acquired conditions such as atherosclerosis.
Implications:
- This case highlights the importance of considering diverse etiologies for cerebral aneurysms, particularly acquired factors in asymmetric presentations.
- Accurate diagnosis through comprehensive imaging is crucial for understanding aneurysm formation and guiding treatment strategies.
- Understanding the correlation between aneurysm location and etiology aids in predicting underlying causes and patient outcomes.
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