Successive development of ischemic malignant strokes in a patient with multiple fusiform aneurysms:A case report  

作　　者：Dae-Seop Shin Dong Kyu Yeo Eu Jene Choi 

机构地区：[1]Department of Neurology,Soonchunhyang University Gumi Hospital,Gumi 39371,South Korea [2]Department of Neurosurgery,Soonchunhyang University Gumi Hospital,Gumi 39371,South Korea

出　　处：《World Journal of Clinical Cases》2023年第31期7712-7717,共6页世界临床病例杂志

摘　　要：BACKGROUND Intracranial fusiform aneurysms are rare,spindle-shaped,and nonsaccular arterial dilatations that may be caused by dissection.CASE SUMMARY A 48-year-old man complained of wake-up onset of dysarthria and left-sided weakness.Diffusion-weighted magnetic resonance imaging of the brain revealed an infarction in the territories of the right middle and posterior cerebral arteries.Computed tomography angiography showed fusiform aneurysms in the right vertebral artery and bilateral petrous segments of the internal carotid arteries(ICAs).Despite conservative management,malignant ischemic stroke recurred in the contralateral ICA territory within a day of the onset of the index stroke.CONCLUSION We report a rare case of successive malignant strokes in a patient with multiple fusiform aneurysms.Herein,we emphasize that clinicians should consider aggressive treatment for patients with ischemic stroke and multiple fusiform aneurysms.

关 键 词：Intracranial aneurysm DISSECTION Cerebral infarction Case report 

分 类 号：R614[医药卫生—麻醉学]