Padarti Akhil, Penwell Alexandria, Saleemi Muhammad-Adeel, Sugg Rebecca, Nisar Taha
Department of Neurology, Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, USA.
Cureus. 2023 Feb 7;15(2):e34715. doi: 10.7759/cureus.34715. eCollection 2023 Feb.
Cerebral cavernous malformations (CCMs) are the second most common type of cerebral vascular lesions. They are often associated with other vascular lesions, typically developmental venous anomalies. CCMs are not known to be associated with cerebral aneurysms and there is a paucity of literature on this occurrence. We report the case of a patient who presented with a focal seizure from a symptomatic CCM with acute hemorrhage and was incidentally found to have a cerebral aneurysm and bilateral internal carotid artery (ICA) dissections secondary to fibromuscular dysplasia. The presence of a cerebral aneurysm has clinical implications as these patients will need closer monitoring.
脑海绵状血管畸形（CCM）是第二常见的脑血管病变类型。它们常与其他血管病变相关，典型的是发育性静脉异常。目前尚不清楚CCM与脑动脉瘤有关，且关于这种情况的文献很少。我们报告了一例患者，该患者因有症状的CCM伴急性出血出现局灶性癫痫发作，偶然发现患有脑动脉瘤以及继发于纤维肌发育不良的双侧颈内动脉（ICA）夹层。脑动脉瘤的存在具有临床意义，因为这些患者需要更密切的监测。
