A 71-year-old woman presented with headache and depression with suicidal ideation. Her medical history was unremarkable except for mild arterial hypertension. General clinical and neurological examination findings and standard laboratory test results were normal. A cerebral computed tomographic scan demonstrated a 3.4 × 4.4-cm oval mass with heavy calcified walls in the left hemisphere (Figure 1). A computed tomographic angiographic scan showed a giant cerebral aneurysm at the internal carotid artery bifurcation, consisting of 2 parts: an upper calcified nonperfused part, and a lower perfused one (Figure 2). The middle and anterior cerebral arteries originated from the perfused lower part of the aneurysm. There was no evidence of cerebrovascular sequela-like bleeding or cerebral ischemia. No surgical treatment or stenting of the aneurysm was possible owing to the described anatomical peculiarities of its localization. Four days later the patient was discharged in good general condition from our clinic.
Surov A, Kornhuber M, Holz C, Spielmann R, Behrmann C. A Giant Cerebral Aneurysm. Arch Neurol. 2008;65(6):832. doi:10.1001/archneur.65.6.832
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