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Case Reports
Acute ischemic stroke due to unruptured small aneurysm of internal carotid artery: A case report.
- Hongjun Su, Na Zhao, Kun Zhao, Xuejuan Zhang, and Riguang Zhao.
- Department of Neurology.
- Medicine (Baltimore). 2020 Oct 9; 99 (41): e22656.
RationaleIntracranial small aneurysm is a rare cause of ischemic stroke, and been described only in sparse case reports. The exact pathophysiology, treatment strategies, and prognosis remain incompletely understood.Patient ConcernsA 42-year-old man presented with an acute onset weakness of the right limbs.DiagnosesNeuroimaging evaluation confirmed a diagnosis of acute ischemic stroke and left internal carotid artery (ICA) small aneurysm.InterventionsThe patient underwent oral anti-platelet therapy (100 mg aspirin daily).OutcomesThe patient recovered to normal status within 4 weeks following antiplatelet treatment. During a follow-up period of 1 year, he remained neurologically asymptomatic and led a virtually normal life.LessonsIt is crucial for clinicians to be aware of this entity, as cerebral infarction caused by small cerebral aneurysm is extremely rare.
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