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  • Title: [Brain aneurysms: an infrequent cause of transient ischemic stroke].
    Author: Gómez-Sierra A, Pérez-López C, Budke M, Fernández-Miranda JC, Prieto R, Alvarez F.
    Journal: Rev Neurol; ; 37(11):1044-6. PubMed ID: 14669146.
    Abstract:
    INTRODUCTION: Ischemic symptomatology related to the presence of saccular brain aneurysms is infrequent, and this makes it difficult to reach a widespread agreement about the most suitable treatment. CASE REPORT: A 17-year-old male with symptoms of little stroke produced by distal embolisation of an aneurysm in the middle cerebral artery. The patient was treated by endovascular aneurysm exclusion. CONCLUSIONS: In patients with no other identifiable cause of ischemic attacks, the possible presence of a brain aneurysm must be taken into account. First choice treatment is the obliteration of the aneurysm using endovascular techniques. If the approach to the aneurysm (either endovascular or surgical) entails a high risk for the patient, another possibility is to use antiplatelet drugs.
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