Saccular aneurysm of the ICA

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic headaches.

Patient Data

Age: 25 years
Gender: Male
mri

A saccular aneurysm arising from the terminal segment of the left internal carotid artery. It measures about 17 x 15 x 13 mm with a narrow neck (about 5 mm) with a mass effect on the left optic nerve (prechiasmatic segment) and optic chiasma which are displaced to the right. No intraluminal thrombosis. No active bleeding.

Case Discussion

MRI features of a saccular aneurysm of the terminal segment of the left internal carotid artery, compressing and displacing the optic chiasma and prechiasmatic optic nerve.

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