Vertebral artery aneursym (giant)

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Left body weakness for one year.

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Axial
T2
This study is a stack
Sagittal
T2
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
MRA
This study is a stack
Coronal
T2
This study is a stack
Coronal
T2
This study is a stack
Coronal
MRA
This study is a stack
Sagittal
MRA
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Info

The left vertebral artery is elongated and tortuous showing a large peripherally thrombosed and centrally patent aneurysm.
There is a compressive effect on the brain stem.

No proximal hydrocephalus.

The right vertebral artery appears unremarkable.

Mucoperiosteal thickening of all para-nasal sinuses.

Case Discussion

The features are consistent with a giant aneurysm of the left vertebral artery.

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