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