Dolichoectatic middle cerebral artery masquerading as cerebral cavernous malformation A case report and review of literature

Main Article Content

Zahraa F. Al-Sharshahi
Saja A. Albanaa
Ahmed M. Jawad
Noor K. Al-Waely
Noor A. Hummadi
Samer S. Hoz

Abstract

Background: Intracranial dolichoectasia (IADE) is a rare vascular disease characterized by distension, elongation and tortuosity of an artery. IADE rarely involves pediatric aged groups. It is either asymptomatic or manifests as ischemic or hemorrhagic attacks.

Case description: A healthy, 30-year-old, female teacher presented with recurrent attacks of bi-frontal headaches associated with dizziness and dropping attacks of two-week duration. She was referred by her general physician to our institution of Neurosurgery Teaching Hospital in Baghdad, Iraq with a suspicion of medial temporal lesion on a cranial computed tomography (CT) scan. Magnetic resonance imaging study excluded the diagnosis suggesting a dolichoectatic middle cerebral artery that was confirmed by CT-angiography.

Conclusion: Dolichoectasia of the middle cerebral artery is a rare and benign lesion. However, it can masquerade as cerebral cavernous malformation or intracranial arterial aneurysm. Thus, careful radiological evaluation with the suggested diagnostic criteria are of paramount importance to prevent its misdiagnosis.

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How to Cite
Al-Sharshahi, Z. F. ., Albanaa, S. A. ., Jawad, A. M. ., Al-Waely, N. K. ., Hummadi, N. A. ., & Hoz, S. S. . (2020). Dolichoectatic middle cerebral artery masquerading as cerebral cavernous malformation: A case report and review of literature. Romanian Neurosurgery, 34(4), 498–503. Retrieved from http://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1699
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Author Biographies

Zahraa F. Al-Sharshahi

Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq

Saja A. Albanaa

Medical student, College of Medicine, Baghdad University, Baghdad, Iraq

Ahmed M. Jawad

Medical student, Royal College of Surgeons in Ireland, Dublin, Ireland

Noor K. Al-Waely

FIBMS-Diagnostic Radiology. Al-Nahrain University. College of Medicine, Department of Surgery, Iraq

Noor A. Hummadi

C.A.B.H.S-Diagnostic Radiology. Al-Imamain Al-Kadhmain Medical City, Iraq

Samer S. Hoz

Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq