| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
A Case Report of a Giant Thrombosed Aneurysm Requiring Differentiation from a Cavernous Hemangioma. A Case Report |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
thrombosed cerebral aneurysm |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
giant cerebral aneurysm |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
surgical treatment |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
diagnosis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
cavernous hemangioma |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Yamada, Nobuhiro
Kawamoto, Shunsuke
Fukaya, Shunsuke
Okunuki, Kanae
Ikeda, Go
Akutsu, Hiroyoshi
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 3,
p. 255-259,
発行日 2025-06-25
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
This report describes a challenging case of a completely thrombosed giant cerebral aneurysm in which the differentiation of the lesion from a cavernous hemangioma was complicated by the lack of continuity with normal vessels. A 66-year-old man presented with nausea, vomiting, and left-sided neurologic symptoms. Head Magnetic Response imating (MRI) revealed a 37 mm mass with mixed intensity and concentric pattern on T2-weighted images (T2WI) lateral to the right parietal lobe and thalamus. T2* showed multiple hypointense lesions. Cerebral angiography showed normal middle cerebral artery (MCA) branches and no contrast inflow into the mass, posing a challenge in differentiating a thrombosed aneurysm from a cavernous hemangioma. Intraoperatively, direct visualization demonstrated continuity of the mass with the right MCA M4 segment through a narrow neck, confirming the diagnosis of a thrombosed aneurysm. While most thrombosed aneurysms show inflow of contrast material into the lumen on angiography, MRI signal patterns similar to hematomas can complicate differentiation from cavernous hemangiomas. In cases where preoperative imaging reveals mass lesions with characteristics similar to those of thrombosed aneurysms, it is critical to consider the possibility of a completely thrombosed giant aneurysm, even in the absence of apparent continuity with normal vessels on neuroimaging, to allow for optimal surgical planning. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.51040/dkmj.2024-047 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-3-11.pdf (626 KB)
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