WILLPOWER MELTDOWN SOMETIMES

19190

He had coil embolization about 30 years ago. There were no records. He has been in the hospital due to lucnar infarction in the right anterior choroidal artery territory. A neurologist thought it resulted from artery-to-artery embolism from the partially thrombosed aneurysm.

I have a different idea. The reasons are; the anterior choroidal artery takes off apart from the neck and originated from ICA, not from the wall of the aneurysm.

References

• Kuroda H. Rupture of thrombosed cerebral aneurysm during antithrombotic therapy for ischemic stroke: case report and literature review. World neurosurg. 2019.