Document Detail


Middle cerebral artery branch occlusion mimicking a saccular aneurysm on 3D digital subtraction angiography.
MedLine Citation:
PMID:  19035730     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The angiographic appearance of an intracranial arterial occlusion is typically distinct from that of a saccular aneurysm, with only a few reported cases of occlusion simulating aneurysm. At the same time, a small percentage of symptomatic intracranial aneurysms present with a stroke. Accurate diagnosis of these conditions is crucial, as their treatment differs. The authors report on a case of middle cerebral artery occlusion that mimicked the appearance of an aneurysm on angiography in the setting of acute stroke. The true diagnosis was not elucidated until repeated angiography 6 months later revealed recanalization of the previously occluded middle cerebral artery branch. This angiographic pitfall is important to consider when acute stroke is suspected as the mode of presentation of a saccular aneurysm.
Authors:
Monica Smith Pearl; Rafael Tamargo; Philippe Gailloud
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  109     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1123-5     Citation Subset:  AIM; IM    
Affiliation:
Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction
Cerebrovascular Disorders / physiopathology,  radiography*
Diagnosis, Differential
Female
Humans
Intracranial Aneurysm / physiopathology,  radiography*
Middle Cerebral Artery / physiopathology,  radiography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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