SACCULAR ANEURYSMS OF MENINGEAL ARTERY - CASE-REPORT

OBJECTIVE AND IMPORTANCE: A rare observation of double saccular aneury sms of the meningeal artery is presented. CLINICAL PRESENTATION: This 22-year-old man was referred to the Neurosurgical Institute with a sus picion of an aneurysm of the anterior communicating artery. Bilateral angiography of the carotid arteries was performed 1 week after the sub arachnoid hemorrhage, but the aneurysms were not visualized. Routine a ngiography of both carotid arteries and selective studies of the left vertebral artery were performed again, and angiography of the right ca rotid artery revealed an aneurysm. The patient's neurological state at the time of admission was normal. Fundoscopic examination revealed pa pilledema and conjunctival injection of the left eye. INTERVENTION: Th e patient was treated using a right pterional approach. One aneurysm h ad caused spontaneous subarachnoid hemorrhage. The aneurysms were remo ved using a direct approach, with histological examination of dura mat ter fragment containing both aneurysms. The results of the patient's a -week follow-up examination were normal. Follow-up angiography of the right carotid artery showed absence of the aneurysm with a clip on the branch of meningeal artery. CONCLUSION: Saccular aneurysms of the men ingeal artery can be manifested by subarachnoid hemorrhage, and intrad ural arterial aneurysms are similar to saccular cerebral vessel lesion s structurally.