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A pediatric case of completely thrombosed giant cavernous carotid aneurysm with ipsilateral ICA occlusion mimicking an intra-axial cystic lesion: a case report and review of the literature

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Abstract

Introduction

There have been a few cases where completely thrombosed cavernous carotid artery (CCA) aneurysms have resembled neoplasms based on neuroimaging data, but no reports have been documented in children.

Case report

We describe an unusual pediatric case of a huge cavernous sinus mass mimicking a cystic neoplasm with peripheral rim enhancement on magnetic resonance imaging (MRI), where the surgery and subsequent histopathological investigation revealed that this mass was a completely thrombosed giant aneurysm of the CCA. The patient showed postoperatively no new neurological deficits and discharged a week later after surgery.

Conclusions

In this case report, we describe a pediatric case of a completely thrombosed giant CCA aneurysm with ipsilateral internal carotid artery (ICA) occlusion, which imitates an intra-axial cystic lesion on MRI.

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Authors and Affiliations

  1. Department of Neurosurgery, Ankara City Hospital, Ankara, Turkey

    Azad Malikov, Ahmet Eren Secen, Ergun Daglioglu & Ahmet Deniz Belen

Authors
  1. Azad Malikov
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  2. Ahmet Eren Secen
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  3. Ergun Daglioglu
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  4. Ahmet Deniz Belen
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Corresponding author

Correspondence to Azad Malikov.

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Ethical approval was not sought for this case report as it was not required due to the nature of the case report.

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Written informed consent was obtained from the patient for publication of this case report and accompanying images.

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There were no conflicts of interest during the writing or submission of this case report.

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Malikov, A., Secen, A.E., Daglioglu, E. et al. A pediatric case of completely thrombosed giant cavernous carotid aneurysm with ipsilateral ICA occlusion mimicking an intra-axial cystic lesion: a case report and review of the literature. Childs Nerv Syst 38, 1809–1812 (2022). https://doi.org/10.1007/s00381-022-05481-z

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  • DOI: https://doi.org/10.1007/s00381-022-05481-z

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