Shin DS, Yeo DK, Choi EJ. Successive development of ischemic malignant strokes in a patient with multiple fusiform aneurysms: A case report. World J Clin Cases 2023; 11(31): 7712-7717 [PMID: 38078141 DOI: 10.12998/wjcc.v11.i31.7712]
Corresponding Author of This Article
Eu Jene Choi, MD, Assistant Professor, Department of Neurology, Soonchunhyang University Gumi Hospital, 179 1(il)gongdan-ro, Gumi 39371, South Korea. suitomoy@gmail.com
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2023; 11(31): 7712-7717 Published online Nov 6, 2023. doi: 10.12998/wjcc.v11.i31.7712
Successive development of ischemic malignant strokes in a patient with multiple fusiform aneurysms: A case report
Dae-Seop Shin, Dong Kyu Yeo, Eu Jene Choi
Dae-Seop Shin, Eu Jene Choi, Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi 39371, South Korea
Dong Kyu Yeo, Department of Neurosurgery, Soonchunhyang University Gumi Hospital, Gumi 39371, South Korea
Author contributions: Shin DS contributed to manuscript writing and editing, and data collection; Yeo DK contributed to data analysis; Choi EJ contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: This patient was admitted through the emergency room and passed away during hospitalization. The informed consent was waived due to the retrospective nature of the report and unfortunate death of the patient.
Conflict-of-interest statement: The authors have no potential conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eu Jene Choi, MD, Assistant Professor, Department of Neurology, Soonchunhyang University Gumi Hospital, 179 1(il)gongdan-ro, Gumi 39371, South Korea. suitomoy@gmail.com
Received: September 13, 2023 Peer-review started: September 13, 2023 First decision: September 14, 2023 Revised: September 21, 2023 Accepted: October 26, 2023 Article in press: October 26, 2023 Published online: November 6, 2023 Processing time: 54 Days and 2.9 Hours
Abstract
BACKGROUND
Intracranial fusiform aneurysms are rare, spindle-shaped, and nonsaccular arterial dilatations that may be caused by dissection.
CASE SUMMARY
A 48-year-old man complained of wake-up onset of dysarthria and left-sided weakness. Diffusion-weighted magnetic resonance imaging of the brain revealed an infarction in the territories of the right middle and posterior cerebral arteries. Computed tomography angiography showed fusiform aneurysms in the right vertebral artery and bilateral petrous segments of the internal carotid arteries (ICAs). Despite conservative management, malignant ischemic stroke recurred in the contralateral ICA territory within a day of the onset of the index stroke.
CONCLUSION
We report a rare case of successive malignant strokes in a patient with multiple fusiform aneurysms. Herein, we emphasize that clinicians should consider aggressive treatment for patients with ischemic stroke and multiple fusiform aneurysms.
Core Tip: Intracranial fusiform aneurysms are spindle-shaped and nonsaccular arterial dilatations. Dissection is the most common cause of fusiform aneurysms. Intracranial dissection is an important cause of ischemic stroke, especially in young patients at low risk for atherosclerosis. The treatment of intracranial fusiform aneurysms is still under debate; however, clinicians should consider aggressive treatment in patients with ischemic stroke with multiple fusiform aneurysms.
