Giant cervical internal carotid artery aneurysm associated with multiple intra- and extracranial aneurysms: a case report - Report - MDSpire
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Case Report of a Giant Cervical Internal Carotid Artery Aneurysm Accompanied by Multiple Intra- and Extracranial Aneurysms

  • By

  • Xavier Wong-Achi

  • Ambar Riley-Moguel

  • José Guillermo Flores-Vázquez

  • Alejandro Becerril-Mejía

  • Dora Yvette Lugo-Hilario

  • Edgar Nathal

  • August 13, 2026

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Clinical Report: Giant Cervical Internal Carotid Artery Aneurysm Case

Background

Giant cervical internal carotid artery aneurysms are particularly uncommon and can lead to severe neurological complications, necessitating careful evaluation and management.

Data Highlights

No numerical data or trial data available in the source material.

Key Findings

  • A 29-year-old male presented with a giant, partially thrombosed cervical internal carotid artery aneurysm.
  • The patient experienced significant hemodynamic compromise and ischemic stroke.
  • Management involved surgical trapping and aneurysmectomy without cerebral revascularization.
  • Favorable short-term clinical and angiographic results were observed post-surgery.
  • Comprehensive vascular evaluation and hemodynamic analysis were crucial for decision-making.

Clinical Implications

This case highlights the importance of thorough vascular evaluation in patients with complex aneurysmal disease. Personalized decision-making regarding surgical intervention can lead to successful outcomes, particularly in cases with sufficient collateral circulation.

Conclusion

The management of giant cervical internal carotid artery aneurysms requires careful assessment and tailored surgical approaches. Long-term monitoring remains essential for these patients.

Related Resources & Content

  1. Frontiers in Surgery, 2026 -- Internal carotid artery fenestration with contralateral internal carotid artery dissection: a case report and literature review
  2. Frontiers in Surgery, 2026 -- Case Report: Reversible acquired Chiari-like state and upper cervical syringomyelia caused by a giant posterior tentorial tumor confined to the supratentorial compartment
  3. Frontiers in Cardiovascular Medicine, 2026 -- Case Report: Giant coronary artery aneurysm with cardiac compression successfully managed by surgical resection and bypass in a normolipidemic patient
  4. Frontiers in Surgery, 2026 -- Case Report: A case of atypical persistent proatlantal intersegmental artery
  5. Turkish Journal of Vascular Surgery, 2025 -- Review on Extracranial Carotid Artery Aneurysms
  6. ESH, 2019 -- First International Consensus on the Diagnosis and Management of FMD
  7. https://manage.turkishjournalofvascularsurgery.org/uploads/articles/KDPPxxNkqxDnB5jhv772bqfwEe0NWeeClLpwuhnR.pdf
  8. https://www.eshonline.org/esh-content/uploads/2019/07/1.-First-international-consensus-on-the-diagnosis-and-management-of-FMD-.pdf

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