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J Neurol Surg A Cent Eur Neurosurg 2022; 83(03): 283-285
DOI: 10.1055/s-0040-1720995
Case Report

Ruptured MCA Aneurysm Mimicking MCA Territory Ischemic Stroke: A Case Report and Review of the Literature

Ignazio De Trizio 
1   Department of Neurosurgery, Neurocenter of Southern Switzerland, Regional Hospital Lugano, Lugano, Switzerland
,
Michael Reinert
1   Department of Neurosurgery, Neurocenter of Southern Switzerland, Regional Hospital Lugano, Lugano, Switzerland
,
Thomas Robert
1   Department of Neurosurgery, Neurocenter of Southern Switzerland, Regional Hospital Lugano, Lugano, Switzerland
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Abstract

Intracerebral hemorrhage (ICH) can be considered one of the major neurologic and neurosurgical emergencies that need a time-dependent diagnosis and treatment. On rare occasions, an aneurysmal rupture may also present with isolated ICH without subarachnoid hemorrhage. We present the case of a 48-year-old woman presenting in our neurosurgical department with ICH and a right middle cerebral artery (MCA) occlusion that, 6 weeks after the initial surgical management, unveiled a large MCA aneurysm treated with a clipping. In this study, we discuss our hypothesis about the etiology and the pathophysiology of this rare phenomenon in the light of the literature in the field.

Keywords

intracerebral hemorrhage - ischemic stroke - MCA aneurysm - differential diagnosis

Consent for Publications

The patient has consented to the submission of this case report to the journal.




Publikationsverlauf

Eingereicht: 22. März 2020

Angenommen: 22. April 2020

Artikel online veröffentlicht:
04. Februar 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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