Ossified peripheral middle cerebral artery aneurysm in a 30-year-old man

J Clin Neurosci. 2009 Aug;16(8):1075-7. doi: 10.1016/j.jocn.2008.07.084. Epub 2009 May 8.

Abstract

A 30-year-old man presented with a history of several convulsive episodes. A CT scan showed a calcified focus in the right temporal lobe. Cerebral angiography yielded no abnormal findings. At craniotomy, the M3 portion of the middle cerebral artery was found to terminate with a blind end at the junction with the calcified mass. A pathological diagnosis of an ossified cerebral aneurysm was made. Calcified cerebral aneurysms are not rare; they are thought to be the result of intra-aneurysmal thrombosis or degenerative changes in the aneurysmal wall. However, complete mural ossification of a cerebral aneurysm is seldom seen, and ossified peripheral middle cerebral artery aneurysms are extremely rare in young individuals. The ossified aneurysm that we report developed over a prolonged period and may have arisen during childhood.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain / blood supply
  • Brain / diagnostic imaging
  • Brain / surgery
  • Cerebral Angiography
  • Craniotomy
  • Diagnosis, Differential
  • Humans
  • Intracranial Aneurysm / diagnosis*
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / pathology
  • Intracranial Aneurysm / surgery
  • Magnetic Resonance Imaging
  • Male
  • Ossification, Heterotopic / diagnosis*
  • Ossification, Heterotopic / diagnostic imaging
  • Ossification, Heterotopic / pathology
  • Ossification, Heterotopic / surgery
  • Tomography, X-Ray Computed