Completely thrombosed giant fusiform aneurysm in a young patient--case report.
A completely thrombosed giant fusiform aneurysm of the peripheral anterior cerebral artery occurred in a 16-year-old female, with a familial and personal history of vascular headache for 4 or 5 years. She was admitted in a drowsy state with severe headache. Computed tomography revealed subarachnoid hemorrhage and intracerebral hemorrhage as a mottled and ring-like high-density area in the left paramedian frontal lobe not enhanced postcontrast. Left carotid angiography demonstrated an avascular mass and a 5 cm defect in the A3 portion of the anterior cerebral artery. The rupture of the giant fusiform aneurysm was confirmed intraoperatively.
Hara
K
K
Department of Neurological Surgery, Kurume University Medical School, Fukuoka.
Shirouzu
T
T
Watanabe
T
T
Furukawa
T
T
Aikawa
Y
Y
Nishio
N
N
Shigemori
M
M
Kuramoto
S
S
D000293:Adolescent; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000209:etiology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D009325:Nausea / Q000209:etiology; D012422:Rupture, Spontaneous; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D013927:Thrombosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014653:Vascular Headaches / Q000209:etiology