A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges

Q4 Medicine

Radiology Case Reports Pub Date : 2025-04-18 DOI:10.1016/j.radcr.2025.03.040

Abdelhamid Maqsoudi MD , Mounir Salek MD , Mohamed Ayez MD , Houssam Rajad MD , Meryem Amghar MD , Mohamed Lmejjati MD , Soukaina Wakrim MD

引用次数: 0

Abstract

A 78-year-old woman presented with symptoms related to a giant thrombosed intracavernous carotid artery aneurysm (ICCA) complicated by ipsilateral carotid thrombosis, a rare and complex vascular pathology. ICCAs are uncommon aneurysms arising from the cavernous segment of the internal carotid artery (ICA), influenced by both anatomical and hemodynamic factors. The presence of thrombus within an intracranial aneurysm adds to the risk of severe complications, necessitating precise imaging evaluation using MRI and MRA to characterize the lesion and guide management. This case highlights the diagnostic challenges and the importance of a multidisciplinary approach in determining the optimal treatment strategy for complex ICCAs.

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颈动脉海绵内巨大动脉瘤伴同侧颈动脉血栓形成1例：影像学和治疗挑战

一位78岁的女性，其症状与巨大的海绵内颈动脉动脉瘤（ICCA）合并同侧颈动脉血栓形成有关，这是一种罕见而复杂的血管病理。ICCAs是一种罕见的动脉瘤，起源于颈内动脉海绵状段，受解剖学和血流动力学因素的影响。颅内动脉瘤内血栓的存在增加了严重并发症的风险，需要使用MRI和MRA进行精确的成像评估，以表征病变并指导治疗。该病例强调了诊断挑战和多学科方法在确定复杂ICCAs的最佳治疗策略中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.