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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1791759
Case Report

Comprehensive Management of Intracranial Aneurysms in Rare and Variant Arterial Locations: A Detailed Case Report

Frank Solis 
1   Neurological Surgery and Endovascular Neurosurgery, Clinica Internacional San Borja, Instituto Nacional de Ciencias Neurologicas, Lima, Peru
,
Rosa Ecos 
2   Vascular Neurology, Instituto Nacional de Ciencias Neurologicas, Universidad Nacional Federico Villarreal, Lima, Peru
,
Melanie Walker 
3   Department of Neurological Surgery, University of Washington, Seattle, Washington, United States
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Abstract

Aneurysms on variant arteries, especially involving the persistent trigeminal artery (PTA), azygos artery, and lenticulostriate arteries (LSAs), are rare. This report presents a case and subsequent management of a patient with multiple unruptured aneurysms arising from variant anatomical structures. A 48-year-old patient with a history of worsening headaches presented with three unruptured aneurysms at the PTA, azygos artery, and left LSA, confirmed via catheter angiography with three-dimensional reconstruction. Given the potential effects on conventional cerebrovascular structures, managing multiple aneurysms in rare and variant locations requires a tailored strategy. This case was successfully treated with an endovascular approach and a period of observation, emphasizing the need for individualized treatment planning.

Keywords

persistent trigeminal artery - azygos - lenticulostriate - aneurysm

Authors' Contribution

The manuscript has been read and approved by all the authors, and the requirements for authorship as stated have been met; each author believes that the manuscript represents honest work.




Publication History

Article published online:
21 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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