São Paulo Medical Journal (Dec 2017)

Intracranial aneurysm and arachnoid cyst: just a coincidence? A case report

  • Guilherme Brasileiro de Aguiar,
  • Rafael Gomes dos Santos,
  • Aline Lariessy Campos Paiva,
  • João Miguel de Almeida Silva,
  • Rafael Carlos da Silva,
  • José Carlos Esteves Veiga

DOI
https://doi.org/10.1590/1516-3180.2017.0083290517
Journal volume & issue
no. 0

Abstract

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ABSTRACT CONTEXT: Presence of an arachnoid cyst and a non-ruptured intracystic brain aneurysm is extremely rare. The aim of this paper was to describe a case of a patient with an arachnoid cyst and a non-ruptured aneurysm inside it. Clinical, surgical and radiological data were analyzed and the literature was reviewed. CASE REPORT: A patient complained of chronic headache. She was diagnosed as having a temporal arachnoid cyst and a non-ruptured middle cerebral artery aneurysm inside it. Surgery was performed to clip the aneurysm and fenestrate the cyst. CONCLUSIONS: This report raises awareness about the importance of intracranial vascular investigation in patients with arachnoid cysts and brain hemorrhage.

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