J Clin Neurol.  2017 Apr;13(2):196-198. 10.3988/jcn.2017.13.2.196.

Mechanical Thrombectomy for Acute Middle Cerebral Artery Occlusion Caused by a Giant, Thrombosed, Extracranial Internal Carotid Artery Aneurysm

• Kargiotis
• Magoufis G
• Safouris A
• Katsanos A
• Stamboulis E
• Tsivgoulis G

• KMID: 2376022
• DOI: http://doi.org/10.3988/jcn.2017.13.2.196

Abstract

No abstract available.

MeSH Terms

Aneurysm*
Carotid Artery, Internal*
Infarction, Middle Cerebral Artery*
Middle Cerebral Artery*
Thrombectomy*

Figure

• 

  Fig. 1 Second brain CT scan before the onset of mechanical thrombectomy showing a hyperdense middle cerebral artery sign (yellow arrow, Panel A) and a giant aneurysm of the left extracranial ICA with arterial wall calcification (red arrow, Panel B) and hypoechoic material within the lumen corresponding to intraluminar thrombus (yellow arrow, Panel B): Left common carotid artery injection during digital substraction angiography showing a giant, extracranial internal carotid aneurysm with filling deficits (Panel C). D: Lest internal carotid artery injection showing left M1 middle cerebral artery occlusion (Panel D). Last internal carotid artery injection showing complete revascularization (TICI grade 3) of the left middle cerebral artery (Panel E) at the end of mechanical thrombectomy with stent retriever that resulted in substantial thrombi removal (Panel F). Diffusion weighted imaging (b value of 0s/mm2) at 24 hours following symptom onset showing the presence of acute infarction in the head of the left caudate nucleus (red arrow, Panel G) and the left lenticular nucleus (yellow arrow, Panel G). Brain MRI with gradient echo sequence (T2*) showing the presence of hemorrhagic transformation of the left putaminal infarction (dotted red circle, Panel H). TICI: thrombolysis in cerebral infarction.

Reference

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