A. Fisher et al., GIANT INTRACRANIAL ANEURYSMS WITH SKULL BASE EROSION AND EXTRACRANIALMASSES - CT AND MR FINDINGS, Journal of computer assisted tomography, 18(6), 1994, pp. 939-942
Objective: To present the CT and MR findings of three patients with gi
ant intracranial aneurysms (GIAs), each of which eroded the skull base
and had an extracranial mass component. A literature review of GIAs w
as also performed. Materials and Methods: In the past year the imaging
studies of three patients with these unusual GIAs were collected at o
ur institutions. All three patients had had CT, and one patient had ha
d MR on a 1.5 T GE unit. Results: One patient had a 5 cm GIA in the le
ft petrocavernous region, filling the middle cranial fossa and extendi
ng into the left sphenoid sinus and the left posterior ethmoid complex
. The aneurysm had heterogeneous high attenuation and extensive rim ca
lcification. The second patient had a 5 cm GIA that filled most of the
left middle cranial fossa, eroding the floor and lateral wall and ext
ending into the infratemporal fossa and parapharyngeal space. The aneu
rysm was partially thrombosed and had minimal rim calcification. The t
hird patient had a 4 cm left cavernous GIA that eroded the floor of th
e middle cranial fossa and extended into the subjacent parapharyngeal
space. The lesion was partially thrombosed and had an enhancing lumen.
The rim had low signal intensity on MR. None of these patients had a
history of trauma. Conclusion: Giant intracranial aneurysms can cause
significant skull base erosion and extend into the paranasal sinuses,
parapharyngeal space, and infratemporal fossa. The CT and MR findings
can lead to an accurate diagnosis.