Partially thrombosed giant cerebral aneurysm - ICA

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Severe headaches.

Patient Data

Age: 65 years
Gender: Female

There is a giant saccular aneurysm of the intracavernous segment of the left internal carotid artery measuring 35 x 30 x 25 mm with a narrowed neck measuring 2 mm. It shows two components, a central component attached to the posterolateral wall of high signal on T1, low signal on T2 and GE sequences, and peripheral component vividly enhanced following IV contrast. A mass effect is noted on the temporal lobe.

Annotated image:

  • red arrow: partially thrombosed aneurysm of the intracavernous internal carotid artery
  • yellow arrow: neck of the aneurysm

Case Discussion

MRI features of partially thrombosed giant cerebral aneurysm of the intracavernous internal carotid artery.

Giant cerebral aneurysms account for ~5% of all intracranial aneurysms and most commonly saccular form.

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