BMJ Case Reports 2013; doi:10.1136/bcr-2013-009593

Giant petrosal aneurysm of the internal carotid artery causing stroke in a young man

  1. Ugur Bozlar1
  1. 1Department of Radiology, Gulhane Military Medical Faculty, Ankara, Turkey
  2. 2Department of Radiology, Mevki Military Hospital, Ankara, Turkey
  1. Correspondence to Dr Veysel Akgun, akgunveysel{at}


A 22-year-old man was referred to our centre after an acute infarction in the right insula and basal ganglia region had been revealed by diffusion MRI performed for left hemiparesis. Carotid Doppler ultrasonography was normal; however, imaging of the cervical and cranial arteries with CT angiography revealed a 2.2×2.7 cm aneurysm in the petrous portion of the right internal carotid artery (ICA) with a peripheral thrombus (figure 1). The patient was referred to the interventional radiology for treatment.

Figure 1

Axial (A), coronal (B) and …

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