Abstract

We report an exceptional case of vertebral artery aneurysm presented with dyspnea and cough symptoms which is misdiagnosed with bronchiectasis. Literature showed that cough can be an exceptional symptom of vertebral aneurysms.

Highlights

  • Giant intracranial aneurysms are rare entities defined by a diameter of at least 25 mm, accounting for 5% of all cases of intracranial aneurysm

  • In the present case report, because of the main symptoms of cough and dyspnea, aneurysm diagnoses are delayed and the patient had a treatment of bronchiectasis over a year

  • Cough and dyspnea can be the only symptoms of the aneurysms

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Summary

Introduction

Giant intracranial aneurysms are rare entities defined by a diameter of at least 25 mm, accounting for 5% of all cases of intracranial aneurysm [1]. In the present case report, because of the main symptoms of cough and dyspnea aneurysm diagnosis is delayed and the patient had a treatment of bronchiectasis over a year. The patient was a 47‐year‐old female admitted to Ankara Bilkent City Hospital (Ankara, Turkey) in June 2018, who had been experiencing symptoms of cough, dyspnea and hoarseness for 1 year. Her cough was treated with several antibiotics and diagnosed with bronchiectasis but there was no improvement of her complaints. At 5 days following hospitalization, the giant aneurysm of the V4 segment was embolized with Pipeline 5 × 35 mm flow diverter device. The modified Rankin scale score [8] of the patient is 1 point

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