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[Multiple giant aneurysm--a case report].

Y Makiyama, H Kushi, Y Ueno

    No Shinkei Geka. Neurological Surgery
    |April 1, 1986
    PubMed
    Summary
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    This case study details a rare instance of multiple, large, and bilaterally developed brain aneurysms presenting with ischemic attacks and hemorrhage. The patient

    Area of Science:

    • Neuroscience
    • Vascular Neurology

    Background:

    • Cerebral aneurysms, particularly multiple and giant forms, pose significant diagnostic and therapeutic challenges.
    • Aneurysm rupture can lead to devastating subarachnoid hemorrhage and neurological deficits.

    Observation:

    • A patient presented with symptoms of a cerebral ischemic attack, including speech disturbance and hemiparesis.
    • Radiological imaging revealed multiple low-density areas in the basal ganglia and three giant fusiform aneurysms in the middle cerebral and basilar arteries.
    • Despite initial discharge, the patient experienced worsening symptoms and a fatal subarachnoid hemorrhage from a ruptured middle cerebral artery aneurysm.

    Findings:

    • Autopsy identified two additional aneurysms not detected in prior imaging, located in the anterior communicating artery and a middle cerebral artery branch.

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  • The case is notable for the extreme rarity of aneurysm occurrence in terms of size, multiplicity, and bilateral development.
  • Implications:

    • This case underscores the importance of comprehensive diagnostic evaluation for complex cerebrovascular conditions.
    • The unusual presentation highlights the need for continued research into the pathogenesis and management of multiple and giant cerebral aneurysms.