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

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

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Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Abdelhamid MaqsoudiRadiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Mounir SalekRadiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Mohamed AyezRadiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Houssam RajadRadiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Meryem AmgharNeurosurgery Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Mohamed LmejjatiNeurosurgery Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

Soukaina WakrimRadiology Department, University Hospital Center of Souss Massa, Faculty of Medicine and Pharmacy, Ibn Zohr Agadir University, Agadir, Morocco.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Conservative managementGiant aneurysmIntracavernous carotid artery aneurysmIpsilateral carotid thrombosisMagnetic resonance imaging

Identifiers

PMID40292135

DOI10.1016/j.radcr.2025.03.040

PMCPMC12032880

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