Giant cervical internal carotid artery aneurysm associated with multiple intra- and extracranial aneurysms: a case report - Takeaways - 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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  • 1

    A case of a 29-year-old male with a giant, partially thrombosed cervical internal carotid artery aneurysm and multiple aneurysms is reported.

  • 2

    The patient presented with ischemic stroke symptoms, including aphasia and right hemiplegia, due to significant hemodynamic compromise.

  • 3

    Imaging revealed a giant cervical ICA aneurysm, multiple intracranial aneurysms, and a thoracic aortic dissection classified as DeBakey IIIa.

  • 4

    Surgical management involved aneurysm trapping and aneurysmectomy without cerebral revascularization, yielding favorable short-term results.

  • 5

    The case highlights the importance of thorough vascular evaluation and personalized decision-making in managing complex aneurysmal diseases.

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