A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges

Abdelhamid Maqsoudi, MD; Mounir Salek, MD; Mohamed Ayez, MD; Houssam Rajad, MD; Meryem Amghar, MD; Mohamed Lmejjati, MD; Soukaina Wakrim, MD

doi:10.1016/j.radcr.2025.03.040

Radiology Case Reports (Jul 2025)

A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges

Abdelhamid Maqsoudi, MD,
Mounir Salek, MD,
Mohamed Ayez, MD,
Houssam Rajad, MD,
Meryem Amghar, MD,
Mohamed Lmejjati, MD,
Soukaina Wakrim, MD

Affiliations

Abdelhamid Maqsoudi, MD: Radiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco; Corresponding authors.
Mounir Salek, MD: Radiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco
Mohamed Ayez, MD: Radiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco
Houssam Rajad, MD: Radiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco
Meryem Amghar, MD: Neurosurgery Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco
Mohamed Lmejjati, MD: Neurosurgery Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco
Soukaina Wakrim, MD: Radiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco; Corresponding authors.

DOI: https://doi.org/10.1016/j.radcr.2025.03.040
Journal volume & issue: Vol. 20, no. 7
pp. 3361 – 3366

Abstract

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A 78-year-old woman presented with symptoms related to a giant thrombosed intracavernous carotid artery aneurysm (ICCA) complicated by ipsilateral carotid thrombosis, a rare and complex vascular pathology. ICCAs are uncommon aneurysms arising from the cavernous segment of the internal carotid artery (ICA), influenced by both anatomical and hemodynamic factors. The presence of thrombus within an intracranial aneurysm adds to the risk of severe complications, necessitating precise imaging evaluation using MRI and MRA to characterize the lesion and guide management. This case highlights the diagnostic challenges and the importance of a multidisciplinary approach in determining the optimal treatment strategy for complex ICCAs.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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