Table 2: Literature review for intracranial aneurysms mimicking intracranial CCMs.

Report

Case

 

N

First author

Year

Age/Gender

Presentation

Radiological findings

Initial diagnosis

Postoperative diagnosis

Management

Outcome

9

Oka H, et al. [16]

1994

19 y/M

Seizure

MRI: Homogeneous high intensity T1 weighted mass, Surrounded by a low intensity T2 weighted rim in the right parietal lobe

Right parietal hemorrhagic CCM

MCA thrombosed aneurysm

-

Good

10

Farias JP, et al. [11]

1997

49 y/F

Severe headache

CT: Round intracallosal lesion, Hyperdense on the periphery & Enhancing with i.v. contrast.

 

MRI: Subacute callosal hematoma

Hemorrhagic corpus callosum CCM or Glioma

Giant distal ACA aneurysm

Clipping & Aneurysmal sac removal

Good

11

Lim DH, et al. [12]

2008

64 y/F

Progressive headache

CT: Large, 2.5-cm in diameter, Non- homogeneous, Rim-calcified hemorrhagic lesion adjacent to the left cerebellar hemisphere

 

MRI: Well-defined 2.5 cm mass, Adjacent to the left inferior cerebellar hemisphere with high signal intensity on T1WI images and Low signal intensity on T2WI

Angiogram: Of the left vertebral artery revealed an avascular mass lesion

 

Large left cerebellar CCM

Thrombosed giant distal PICA aneurysm

Clipping & Aneurysmal sac removal

Good

12

Bayrakli F, et al. [17]

2010

32 y/M

Chronic tonic-clonic seizures

MRI: Non-enhancing, Heterogeneous signal intensity in superior temporal gyrus and hypointense area around the lesion in T1- and T2-weighted images

Temporal CCM

MCA aneurysm

Excision

Good

13

Kumar VR, et al. [13]

2015

45 y/M

Chronic progressive worsening vision, Headache, Ataxia & Occasional social incontinence of urine

CTA: Displacement of left anterior and MCA; With no enhancement within the lesion

DSA: Left A1 was not well visualized; Both A2s were filling on right carotid injection and a round shift of the A2s was noted

MRI: Large left basifrontal lesion extending superiorly & Distorting the corpus callosum

Giant frontal CCM

Thrombosed giant Acom aneurysm

Cleavage & Capsular resection

Good

14

Trungu S, et al. [14]

2017

53y/F

Tinnitus and Persistent headache

CT: Hyperdense mass in the left temporal lobe close to the Sylvian fissure

CTA: Regular flow in the intracranial arteries

MRI: Nodular mass, located in the temporal lobe adjacent to the sylvian cistern

 

Angiography: Regular flow in the MCA

Temporal CCM

Thrombosed distal MCA aneurysm

Clipping & Aneurysmal sac removal

Good

15

Zhang H, et al. [15]

2019

47 y/F

Sudden headache and Vomiting for 3 days

CT: High density of the ambient cistern and fourth ventricle

MRI: Hyperintensity T1WI, Uneven enhancement at the left nodule & Mixed signal on the left cerebellar hemisphere lesion

Left cerebellar hemorrhagic CCM

PICA thrombosed aneurysm

Excision

Good

Y: Year; M: Male; F: Female; MRI: Magnetic Resonance Imaging; MRA: Magnetic Resonance Angiography; T1WI: T1-Weighted Image; T2WI: T2-Weighted Image; Pcom: Posterior Communicating Artery; DSA: Digital Subtraction Angiography; CT: Computed Tomography; CTA: Computed Tomography Angiography; MCA: Middle Cerebral Artery; ICA: Internal Carotid Artery; SAH: Subarachnoid Hemorrhage; IVH: Interventricular Hemorrhage; AVM: Arteriovenous Malformation; ACA: Anterior Cerebral Artery; GRE: Gradient Recalled Echo; A1: Pre-Communicating Segment Of Anterior Cerebral Artery; A2: Post-Communicating Segment Of Anterior Cerebral Artery; IV: Intravenous; PICA: Posterior Inferior Cerebellar Artery