Abstract
Hemorrhage in the basal ganglia resulting to lenticulostriate artery aneurysm rupture is extremely rare. This distal micro-aneurysm of the perforating lenticulostriate arteries is called Charcot-Bouchard aneurysm. We wish to report a case of an hematoma in the basal ganglia due to a Charcot-Bouchard aneurysm demonstrated by Computed Tomography Angiograpy (CTA) and Magnetic Resonance Angiography (MRA) and confirmed by selective catheter angiography.Teaching Point:Charcot-Bouchard aneurysm is a very rare distal micro-aneurysm of the perforating lenticulostriate arteries. Young patients who experience basal ganglia hemorrhage should have contrast-enhanced CT, especially if they don’t have arterial hypertension and if subarachnoid hemorrhage is associated.
Highlights
A 47-year-old male patient with a known history of arterial hypertension and migraine suffered a sudden right facio-brachial paresis and dysarthria
Charcot-Bouchard Aneurysm Diagnosed with computed tomography (CT) angiography (CTA) and magnetic resonance angiography (MRA)
The primary type of distal lenticulostriate aneurysms is probably dissecting or pseudo-aneurysms, but true saccular aneurysms exist [1]. They mostly lead to solitary hematomas in the basal ganglia mimicking hypertensive hemorrhage [2]
Summary
A 47-year-old male patient with a known history of arterial hypertension and migraine suffered a sudden right facio-brachial paresis and dysarthria. CORRESPONDING AUTHOR: Sanaa Jamali Clinique Saint Luc, BE jmlsanaa@gmail.com TO CITE THIS ARTICLE: Jamali S, Vaz JGR, Wilms G. Charcot-Bouchard Aneurysm Diagnosed with CTA and MRA.
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call