title: Radiological pitfalls of a large intracranial dissecting aneurysm.
abstract: We report the case of a large dissecting aneurysm of the anterior cerebral artery revealed by cerebral infarction in 38-year-old man. The volume and aspect of the aneurysm initially led us to the diagnosis of saccular aneurysm. Given the complete thrombosis, the risk of bleeding was low and antithrombotic therapy was started. Surgery could be discussed later. However radiological monitoring by MRI (magnetic resonance imaging) showed a rapid decrease in volume of the aneurysm. The final angiography found an aspect of stenosis followed by a little arterial dilatation. The diagnosis of dissecting anterior cerebral aneurysm was a posteriori established.
authors: Lille University Hospital, Department of Neurosurgery, Lille, France.
authors: Rabih
authors: R
authors: Aboukais
authors: Fahed
authors: F
authors: Zairi
authors: Philippe
authors: P
authors: Bourgeois
authors: Laurent
authors: L
authors: Thines
authors: Jean-Paul
authors: JP
authors: Lejeune
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed