Embolic Stroke Complicating Cervical Aneurysm

Case 2 A 41-year-old woman complained of clumsiness of her left hand followed by a left hemiparesis with moderate aphasia. MRI showed a right temporoparietal ischemia ( fi g. 2 ). Complete cardiovascular work-up was normal. Cerebral angiography disclosed a 21-mmwide sacciform aneurysm of the subpetrous portion of the right ICA showing a heavily calcifi ed wall, without signs of intracranial atherosclerosis. It was attributed to a sylvian infarct due to thrombus migration from the aneurysm. Endovascular ICA repair with stent angioplasty was then considered. Using a previously reported technique [4] , the aneurysm neck was bridged with a self-expandable stent leading to the exclusion of the aneurysm. The patient was discharged on the following day and the clinical follow-up was uneventful after 2 years.