Intracranial aneurysms - a battle against time

Introduction: Intracranial aneurysms consist in abnormal dilatation of the cerebral arteries, most frequently asymptomatic, with symptoms appearing in the case of aneurysm rupture. From an imaging point of view, a cranial CT scan shows the subarachnoid haemorrhage caused by aneurysm rupture and the...

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Main Authors: Corneliu Toader, Andrei Alexandru Marinescu, Andrei Adrian Popa, Bogdan Gabriel Bratu, Alexandru Vlad Ciurea
Format: Article
Language:English
Published: London Academic Publishing 2023-01-01
Series:Romanian Neurosurgery
Subjects:
Online Access:http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2449
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author Corneliu Toader
Andrei Alexandru Marinescu
Andrei Adrian Popa
Bogdan Gabriel Bratu
Alexandru Vlad Ciurea
author_facet Corneliu Toader
Andrei Alexandru Marinescu
Andrei Adrian Popa
Bogdan Gabriel Bratu
Alexandru Vlad Ciurea
author_sort Corneliu Toader
collection DOAJ
description Introduction: Intracranial aneurysms consist in abnormal dilatation of the cerebral arteries, most frequently asymptomatic, with symptoms appearing in the case of aneurysm rupture. From an imaging point of view, a cranial CT scan shows the subarachnoid haemorrhage caused by aneurysm rupture and the “gold standard” for aneurysm diagnosis is cerebral angiography. Case presentation: A 49 years-old female, Ukrainian refugee, presented with a unique comitial crisis and chronic headache. Following an MRI performed in Kiev, it was decided to perform a bilateral carotid and vertebral angiography in our clinic. Clinical and imagistic results showed a giant left middle cerebral artery aneurysm. Postoperative, the patient had a favourable neurological recovery, with no neurological deficits. Additionally, control angiography and CT scan highlight complete occlusion of the aneurysm and no complications. Conclusions: Cerebral aneurysms represent a high-risk vascular condition that needs a CT scan and angiography to be precisely diagnosed, surgical clipping should be performed as soon as possible.
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spelling doaj.art-d6c5114d889846488a90a1aab809b5572023-01-10T00:52:52ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592023-01-01364Intracranial aneurysms - a battle against timeCorneliu ToaderAndrei Alexandru MarinescuAndrei Adrian PopaBogdan Gabriel BratuAlexandru Vlad Ciurea Introduction: Intracranial aneurysms consist in abnormal dilatation of the cerebral arteries, most frequently asymptomatic, with symptoms appearing in the case of aneurysm rupture. From an imaging point of view, a cranial CT scan shows the subarachnoid haemorrhage caused by aneurysm rupture and the “gold standard” for aneurysm diagnosis is cerebral angiography. Case presentation: A 49 years-old female, Ukrainian refugee, presented with a unique comitial crisis and chronic headache. Following an MRI performed in Kiev, it was decided to perform a bilateral carotid and vertebral angiography in our clinic. Clinical and imagistic results showed a giant left middle cerebral artery aneurysm. Postoperative, the patient had a favourable neurological recovery, with no neurological deficits. Additionally, control angiography and CT scan highlight complete occlusion of the aneurysm and no complications. Conclusions: Cerebral aneurysms represent a high-risk vascular condition that needs a CT scan and angiography to be precisely diagnosed, surgical clipping should be performed as soon as possible. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2449cerebral aneurysmintracranial haemorrhagemicrosurgical clippingneurosurgery
spellingShingle Corneliu Toader
Andrei Alexandru Marinescu
Andrei Adrian Popa
Bogdan Gabriel Bratu
Alexandru Vlad Ciurea
Intracranial aneurysms - a battle against time
Romanian Neurosurgery
cerebral aneurysm
intracranial haemorrhage
microsurgical clipping
neurosurgery
title Intracranial aneurysms - a battle against time
title_full Intracranial aneurysms - a battle against time
title_fullStr Intracranial aneurysms - a battle against time
title_full_unstemmed Intracranial aneurysms - a battle against time
title_short Intracranial aneurysms - a battle against time
title_sort intracranial aneurysms a battle against time
topic cerebral aneurysm
intracranial haemorrhage
microsurgical clipping
neurosurgery
url http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2449
work_keys_str_mv AT corneliutoader intracranialaneurysmsabattleagainsttime
AT andreialexandrumarinescu intracranialaneurysmsabattleagainsttime
AT andreiadrianpopa intracranialaneurysmsabattleagainsttime
AT bogdangabrielbratu intracranialaneurysmsabattleagainsttime
AT alexandruvladciurea intracranialaneurysmsabattleagainsttime