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Vol. 24. Issue 1.
Pages 41-46 (January - February 2013)
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Vol. 24. Issue 1.
Pages 41-46 (January - February 2013)
Caso clínico
Aneurisma de la arteria cerebral anterior que se presenta como masa del tercer ventrículo e hidrocefalia. A propósito de un caso
Anterior cerebral artery aneurism presenting as a third ventricular mass and hydrocephalus. Case report
Julián Castro Castro
Corresponding author
juliancastrocastro@yahoo.es

Autor para correspondencia.
, Jesús Patricio Agulleiro Díaz, Juan Manuel Villa Fernández, Alfonso Pinzón Millán
Servicio de Neurocirugía, Complejo Hospitalario Universitario de Ourense, Ourense, España
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Tabla 1. Aneurismas que se presentan como lesiones del tercer ventrículo e hidrocefalia recogidos en la literatura
Resumen

Los aneurismas que se presentan como masas del tercer ventrículo son poco comunes, y en la mayor parte de los casos surgen del ápex de la arteria basilar.

Presentamos el caso de un paciente varón de 67 años de edad que fue ingresado en el hospital con un cuadro de 4 semanas de evolución de inestabilidad de la marcha, incontinencia urinaria y pérdida progresiva de agudeza visual.

La tomografía computarizada craneal mostraba una masa hiperdensa en el tercer ventrículo con dilatación triventricular. La resonancia magnética cerebral, la angiografía por resonancia magnética y la angiografía convencional identificaron esta lesión como un aneurisma parcialmente trombosado de la arteria cerebral anterior.

Según nuestro conocimiento, este es el primer caso descrito de aneurisma de arteria cerebral anterior con estas características clínicas y radiológicas.

Palabras clave:
Aneurisma
Arteria cerebral anterior
Hidrocefalia
Masa ventricular
Abstract

Aneurysms which appear as third ventricular masses are uncommon; most are giant aneurysms arising from the basilar apex.

We present the case of a 67-year-old male who was admitted to hospital with a 4-week history of gait instability, urinary incontinence and progressive visual loss.

A cranial computed tomography scan revealed a hyperdense mass in the third ventricle with triventricular dilatation. Cerebral magnetic resonance imaging, magnetic resonance-angiography and conventional angiography identified this lesion as a partially thrombosed aneurysm of the anterior cerebral artery.

To our knowledge, this is the first report of an anterior cerebral artery aneurysm with these clinical and radiological features.

Keywords:
Aneurysm
Anterior cerebral artery
Hydrocephalus
Ventricular mass

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