Case In Images
 
Angionegative thrombosed middle cerebral artery aneurysm causing embolic phenomenon
Sunil Munakomi1, Binod Bhattarai2, Iype Cherian3
1MCh Resident,Department of Neurosurgery, College of Medical Sciences, Bharatpur, Nepal.
2Associate Professor, Department of Neurosurgery, College of Medical Sciences, Bharatpur, Nepal.
3Head of the Department, Department of Neurosurgery, College of Medical Sciences, Bharatpur, Nepal.

doi:10.5348/ijcri-201461-CI-10018

Address correspondence to:
Sunil Munakomi
MCh Resident, Department of Neurosurgery
College of Medical Sciences
Bharatpur
Nepal

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How to cite this article
Munakomi S, Bhattarai B, Cherian I. Angionegative thrombosed middle cerebral artery aneurysm causing embolic phenomenon. Int J Case Rep Images 2015;6(9):591–595.


Abstract
Introduction: Though thrombosis of a giant aneurysm is a common entity, the phenomenon of embolic phenomenon from an angiographically negative thrombosed aneurysm causing ischemic infarction is a very rare entity.
Case Report: Herein we report a case of an ischemic episode from a thrombosed giant aneurysm which was angiographically occult. We then discuss the management and outcome in a 32-year-old female.
Conclusion: Embolic phenomenon from an angiographically negative giant aneurysm can impose dilemma in the management plan. This differential should always be placed in mind while dealing with lesions in the vascular territory and correct algorithm should be taken in planning the correct therapeutic approach for the same.

Keywords: Angionegative thrombosed, Giant aneurysm, Emboli, Middle cerebral artery aneurysm, Management

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Author Contributions
Sunil Munakomi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Binod Bhattarai – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Iype Cherian – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Sunil Munakomi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.