Intra-mural propagation of a large cavernous internal cerebral artery aneurysm after parent artery sacrifice

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Authors: Ho-Joon Lee ; Sang Hyun Suh ; Jae Whan Lee ; Dong Ik Kim ; Seung Kon Huh ; Dong Joon Kim

MeSH: Adrenal Cortex Hormones/therapeutic use ; Carotid Artery, Internal/diagnostic imaging ; Carotid Artery, Internal/pathology ; Carotid Artery, Internal/surgery ; Carotid Artery, Internal, Dissection/complications* ; Carotid Artery, Internal, Dissection/pathology* ; Carotid Artery, Internal, Dissection/surgery ; Cavernous Sinus/diagnostic imaging ; Cavernous Sinus/pathology* ; Cavernous Sinus/surgery ; Cerebral Angiography ; Cranial Nerve Diseases/etiology ; Cranial Nerve Diseases/physiopathology ; Disease Progression ; Female ; Humans ; Infarction, Middle Cerebral Artery/etiology ; Infarction, Middle Cerebral Artery/pathology ; Infarction, Middle Cerebral Artery/physiopathology ; Intracranial Aneurysm/etiology* ; Intracranial Aneurysm/pathology* ; Intracranial Aneurysm/physiopathology ; Magnetic Resonance Imaging ; Middle Aged ; Middle Cerebral Artery/diagnostic imaging ; Middle Cerebral Artery/pathology ; Middle Cerebral Artery/physiopathology ; Neurosurgical Procedures ; Platelet Aggregation Inhibitors/therapeutic use ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/pathology* ; Postoperative Complications/physiopathology ; Treatment Failure ; Vascular Surgical Procedures

Abstract: The mechanism of aneurysm growth after isolation from the circulation is not well known. We report a case of a woman who presented with mass effects of a large cavernous internal carotid artery (ICA) aneurysm. The parent vessel harboring the aneurysm was sacrificed but the aneurysm continued to enlarge with propagation of the disease along the vessel wall progressively extending to the middle cerebral artery (MCA) leading to ischemic stroke. This case provides imaging evidence of the role of mural inflammation in the development of certain aneurysms.

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

Yonsei Authors: Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) https://orcid.org/0000-0002-7035-087X
Suh, Sang Hyun(서상현) https://orcid.org/0000-0002-7098-4901
Lee, Jae Whan(이재환)
Huh, Seung Kon(허승곤)

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YUHSpace: Intra-mural propagation of a large cavernous internal cerebral artery aneurysm after parent artery sacrifice