School of Medicine Publications and Presentations
Document Type
Article
Publication Date
4-22-2025
Abstract
In late 2022, a 65‐year‐old woman presented to us with a 3‐day history of ischemic stroke resulting in left facial droop and left‐sided weakness. She had a known giant right internal carotid artery (ICA) aneurysm since 2015 that kept on growing and causing her a myriad of neurologic signs and symptoms including recurrent severe headaches, debilitating tinnitus, right‐sided vision loss (2020), proptosis, ophthalmoplegia, ptosis, and hearing loss. She had allodynia in the right trigeminal nerve distribution, complete right facial palsy, new left lower facial palsy and left hemiparesis (3/5 strength). Unfortunately, local treatment options were unavailable at that time, and she could not afford treatment abroad. Serial brain imaging revealed a continuously enlarging right ICA aneurysm, exceeding 110 mm in size, which to our knowledge, is the largest reported brain aneurysm thus far. Flow diverter embolization of the aneurysm was performed 2 weeks later, resulting in the complete resolution of her debilitating tinnitus and headaches.
Recommended Citation
Tekle, W. G., Belayneh, E. K., Eticha, K. T., Soboka, T. A., Teka, M. Y., Mengistu, H. A., ... & Fetene, S. M. (2025). First Endovascular Flow Diversion Treatment for a Supergiant Brain Aneurysm (> 110 mm) in Ethiopia. Stroke: Vascular and Interventional Neurology, 5(3), e001610. https://doi.org/10.1161/SVIN.124.001610
Publication Title
Stroke
DOI
10.1161/SVIN.124.001610
Academic Level
faculty
Mentor/PI Department
Neurology
Comments
© 2025 The Author(s). Stroke: Vascular and Interventional Neurology published by Wiley Periodicals LLC on behalf of American Heart Association; The Society for Vascular and Interventional Neurology. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.