Cao Shanshan, Zhang Duyi, Wu Dayu, Li Tianyi, Sun Jialan, Zhu Wei, Yang Xuelian, Pan Yaohua, Li Qiang
Department of Neurology, Shanghai Pudong New Area Gongli Hospital, Shanghai, China.
Shanghai Medical College of Fudan University, Shanghai, China.
J Neuroendovasc Ther. 2024;18(12):326-330. doi: 10.5797/jnet.cr.2024-0059. Epub 2024 Oct 23.
Giant aneurysms of the cavernous segment of the internal carotid artery presenting as acute ischemic stroke (AIS) are rare and often misdiagnosed. Limited treatment experience further complicates management.
A 70-year-old female presented with acute right middle cerebral artery (MCA) occlusion due to a dislodged thrombus from a giant internal carotid aneurysm. Emergency multimodal brain imaging techniques, including CT, CTA, and DSA, were used to clarify the diagnosis. Given the giant aneurysm's interference, cross-circulation thrombectomy via the anterior communicating artery was performed to revascularize the occluded artery. The patient achieved a relatively good outcome due to timely reperfusion.
This case highlights the importance of advanced imaging and innovative surgical techniques in managing complex cerebrovascular conditions, offering insights for future treatment of giant intracranial aneurysms with cerebral embolization.
表现为急性缺血性卒中（AIS）的颈内动脉海绵窦段巨大动脉瘤罕见，且常被误诊。有限的治疗经验使管理更加复杂。
一名70岁女性因巨大颈内动脉动脉瘤内血栓脱落导致急性右侧大脑中动脉（MCA）闭塞。采用包括CT、CTA和DSA在内的紧急多模态脑成像技术以明确诊断。鉴于巨大动脉瘤的干扰，通过前交通动脉进行交叉循环血栓切除术以使闭塞动脉再通。由于及时再灌注，患者取得了相对良好的预后。
该病例突出了先进成像和创新手术技术在处理复杂脑血管疾病中的重要性，为未来采用脑栓塞治疗巨大颅内动脉瘤提供了见解。
