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Alharbi A, Alharbi M, Alharbi M, Almishali F, Alzhrani H, Al-Najaidi J, Aljohani M, Sabba S, Abdulla L, Alaiwi M, Hasan M, Hatim A, Abdulla E, Maddah A. A Case Report of a Giant Basilar Artery Aneurysm. Cureus 2023; 15:e51018. [PMID: 38264370 PMCID: PMC10804338 DOI: 10.7759/cureus.51018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/24/2023] [Indexed: 01/25/2024] Open
Abstract
Intracranial aneurysms, characterized by the localized dilation of cerebral arteries, pose a substantial risk of rupture, leading to severe consequences. Basilar artery aneurysms, in particular, present unique challenges due to their location and potential impact on vital brainstem structures. Advanced diagnostic imaging has improved the chances of early identification of the condition, enabling timely intervention. We discuss the case of a 54-year-old female with controlled hypertension, who presented with persistent severe headaches and neurological symptoms. Diagnostic investigations revealed a large saccular basilar artery aneurysm measuring 4.7 cm. The aneurysm exerted pressure on the brainstem. After comprehensive discussions, the patient underwent successful flow-diverter stent placement, which led to the gradual resolution of symptoms. The multidisciplinary team closely monitored the patient in the neurointensive care unit. Managing giant basilar artery aneurysms poses significant challenges due to the potentially life-threatening complications associated with it. The success in treating the presented case underscores the importance of a multidisciplinary approach involving neurosurgery, interventional radiology, and critical care in managing these patients.
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Affiliation(s)
- Ahlam Alharbi
- Family Medicine, Primary Health Care Center, Riyadh, SAU
| | | | | | | | | | | | | | - Sara Sabba
- General Practice, Wenzhou Medical University, Wenzhou, CHN
| | - Layla Abdulla
- General Practice, Wenzhou Medical University, Wenzhou, CHN
| | - Mahmood Alaiwi
- General Practice, First Moscow State Medical University, Moscow, RUS
| | - Mohamed Hasan
- General Practice, Wenzhou Medical University, Wenzhou, CHN
| | | | - Eman Abdulla
- General Practice, Mansoura University, Mansoura, EGY
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