A pediatric patient with a dissecting thrombotic anterior choroidal artery aneurysm: case report
Abstract
We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm. The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus. An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm. This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.
References
Giant middle cerebral aneurysm presenting as hemiathetosis in a child and its spontaneous thrombosis
A distal anterior cerebral artery aneurysm in infant: disappearance and reappearance of the aneurysm
Paediatric dissecting posterior cerebral aneurysms: report of two cases and review of the literature
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Aneurysm
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