Thrombosed MCA Aneurysm Mimicking an Insular Cavernous Angioma: A Case Report and Literature Review

被引：0
作者：
Morgane Soler-Rico
Patrice Finet
机构：
[1] Saint-Luc Hospital,Neurosurgery Department
[2] Université Catholique de Louvain,undefined
来源：
SN Comprehensive Clinical Medicine | / 5卷 / 1期
关键词：
Thrombosed aneurysm; Mimicking; Cavernous angioma;
D O I：
10.1007/s42399-023-01615-9
中图分类号：
学科分类号：
摘要：
Cerebral cavernous malformations (CCM) can mimic other lesions such as thrombosed aneurysms. Completely thrombosed aneurysms (CTA) are rare, especially in non-giant aneurysms. We report a case of a 40-year-old man with a presumed insular CCM. A surgery was performed and revealed a thrombotic distal middle cerebral artery (MCA) aneurysm. The treatment consisted in sac incision and partial debulking. We reviewed the cases of thrombotic non-giant CTA and lesions mimicking CCM in the literature. Complete radiologic analysis and differential diagnosis remain crucial. For non-giant CTA, there is no clear consensus on their management, but they could be managed conservatively.
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