[Brain aneurysms: an infrequent cause of transient ischemic stroke].
BACKGROUND
Ischemic symptomatology related to the presence of saccular brain aneurysms is infrequent, and this makes it difficult to reach a widespread agreement about the most suitable treatment.


METHODS
A 17-year-old male with symptoms of little stroke produced by distal embolisation of an aneurysm in the middle cerebral artery. The patient was treated by endovascular aneurysm exclusion.


CONCLUSIONS
In patients with no other identifiable cause of ischemic attacks, the possible presence of a brain aneurysm must be taken into account. First choice treatment is the obliteration of the aneurysm using endovascular techniques. If the approach to the aneurysm (either endovascular or surgical) entails a high risk for the patient, another possibility is to use antiplatelet drugs.
Gómez-Sierra
A
A
Servicio de Neurocirurgía, Hospital Universitario La Paz, Madrid, España. agomez.hulp@salud.madrid.org
Pérez-López
C
C
Budke
M
M
Fernández-Miranda
J C
JC
Prieto
R
R
Alvarez
F
F
D000293:Adolescent; D002545:Brain Ischemia / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D020521:Stroke / Q000209:etiology*