Middle cerebral artery aneurysm

Case contributed by Dr Domenico Nicoletti

Presentation

Incidental finding in lymphoma staging.

Patient Data

Age: 28
Gender: Male
Modality: CT

Aneurysmal dilatation of the right middle cerebral artery near its origin. There are no focal lesions.

Modality: MRI

MR angiogram of the cerebral vessels confirms saccular aneurysm localized between the origin of the right anterior cerebral artery and the M1 segment of the ipsilateral middle cerebral artery.

Case Discussion

Intracranial aneurysms are classified by different types, depending on their morphology and the disease process that underlies it:

  • saccular aneurysms (most common): caused by a congenital defect of one of the components of the arterial wall (tunica media)
  • fusiform aneurysms: usually due to atherosclerosis
  • infectious aneurysms: caused by an infection of the arterial wall supported by germs present in the circulation;
  • post traumatic aneurysm: from artery injury (penetrating trauma or surgical manipulation)

Saccular aneurysms affecting the large arteries at the base of the brain (circle of Willis). In particular, they are formed in correspondence of the bifurcation points or the bending arteries, where the greater the pressure of the blood flow on the vessel wall.

Intracranial aneurysms is clinically manifested when it breaks with subarachnoid hemorrhage.  Sometimes an intact aneurysm can cause neurological symptoms due to compression of adjacent neural structures. 

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Case Information

rID: 43168
Case created: 26th Feb 2016
Last edited: 26th Feb 2016
Inclusion in quiz mode: Excluded

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