Middle cerebral artery branch occlusion mimicking a saccular aneurysm on 3D digital subtraction angiography.

Abstract:

:The angiographic appearance of an intracranial arterial occlusion is typically distinct from that of a saccular aneurysm, with only a few reported cases of occlusion simulating aneurysm. At the same time, a small percentage of symptomatic intracranial aneurysms present with a stroke. Accurate diagnosis of these conditions is crucial, as their treatment differs. The authors report on a case of middle cerebral artery occlusion that mimicked the appearance of an aneurysm on angiography in the setting of acute stroke. The true diagnosis was not elucidated until repeated angiography 6 months later revealed recanalization of the previously occluded middle cerebral artery branch. This angiographic pitfall is important to consider when acute stroke is suspected as the mode of presentation of a saccular aneurysm.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Pearl MS,Tamargo R,Gailloud P

doi

10.3171/JNS.2008.109.12.1123

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1123-5

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

109

pub_type

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