A 25-year-old man reported to our department with a history of fever (about 39˚F),
headache, nausea, vomiting, sporadic convulsions of the limbs lasting up to 10 days
and blindness of the left eye for the past 1 month. The computed tomography (CT) scan
revealed a high-density mass measuring 3.5 × 2.8 × 4.3 cm, with multiple calcifications
in the suprasellar cisterna region (Fig. 1A). The initial assessment indicated craniophrayngioma. Following this the patient
underwent further magnetic resonance imaging (MRI) examination, which detected mixed
high and low signals with annular hypointensity at the margin. Moreover, the bilateral
frontal lobes and brainstem were compressed (Fig. 1B, C). Enhanced MRI revealed that the mass had thick strip enhancement, marginal annular
enhancement, and few patchy areas without enhancement (Fig. 1D, E, F). Since the image showed the mass in close proximity to the neighboring vessels,
it was suspected to be a thrombotic aneurysm. Subsequently, a CT angiography confirmed
that the lesion was likely to have originated from the ocular segment of the left
internal carotid artery (Fig. 1G, H, I). The patient underwent interventional embolization of the aneurysm (Fig. 2) and recovered without any complications.
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References
- Intracranial giant mycotic aneurysm without endocarditis and vasculitis: report of rare entity and review of literature.World Neurosurg. 2018; 119: 353-357
- Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic.Am J Roentgenol. 2000; 174: 597-608
- Perianeurysmal edema in giant intracranial aneurysms in relation to aneurysm location, size, and partial thrombosis.J Neurosurg. 2015; 123: 446-452
Article info
Publication history
Published online: December 20, 2022
Accepted:
December 15,
2022
Received:
August 10,
2022
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
